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Horizontal Mattress Suture

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81. Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults (Full text)

eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed

2016 Minimally invasive surgery PubMed abstract

82. Preservation of keratinized mucosa around implants using a prefabricated implant-retained stent: a case-control study (Full text)

was clipped on the healing abutment after implant surgery to replace the keratinized tissue bucco-apically. In the control group, horizontal external mattress sutures were applied instead of using a stent. After the surgical procedure, the width of the buccal keratinized mucosa was measured at the mesial, middle, and distal aspects of the healing abutment. The change in the width of the buccal keratinized mucosa was assessed at 1 and 3 months.Healing was uneventful in both groups. The difference of width (...) implant-retained stent was shown to be effective in the preservation of the keratinized mucosa around implants and it was simple and straightforward in comparison to the horizontal external mattress suture technique.

2016 Journal of periodontal & implant science PubMed abstract

83. Treatment of Post-Extraction Dehisced Socket

of the membrane and an external cross mattress suture. Subjects will be recalled at 1, 2 and 5 weeks to monitor healing and assess the level of discomfort using a visual analog scale at the end of each visit. At the 5-week visit, the membrane will be gently removed and the exposed area will be left to heal by secondary intention. At 20 weeks after tooth extraction a second CBCT will be obtained to radiographically evaluate the site for implant placement. Bone volumetric reconstructions of the alveolar ridge (...) at baseline and at 20 weeks will be made using the CBCT data to assess changes affecting the bone housing. If the site has healed adequately, implant placement will be planned at 24 weeks after tooth extraction. A bone core biopsy will be obtained at the time of implant placement in order to histologically analyze the characteristics of the grafted substrate. Upon implant placement with primary stability a healing abutment will be placed and sutures will be given to achieve primary wound closure

2016 Clinical Trials

84. Hughes Abdominal Repair Trial (HART) - Abdominal wall closure techniques to reduce the incidence of incisional hernias: study protocol for a randomised controlled trial. (Full text)

Hughes Abdominal Repair Trial (HART) - Abdominal wall closure techniques to reduce the incidence of incisional hernias: study protocol for a randomised controlled trial. Incisional hernias are common complications of midline closure following abdominal surgery and cause significant morbidity, impaired quality of life and increased health care costs. The 'Hughes Repair' combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture (...) . This theoretically distributes the load along the incision length as well as across it. There is evidence to suggest that this technique is as effective as mesh repair for the operative management of incisional hernias; however, no trials have compared the Hughes Repair with standard mass closure for the prevention of incisional hernia formation following a midline incision.This is a 1:1 randomised controlled trial comparing two suture techniques for the closure of the midline abdominal wound following surgery

2016 Trials Controlled trial quality: predicted high PubMed abstract

85. Editorial Commentary: Confirming Intuitive Thoughts in Hip Preservation. (Full text)

Editorial Commentary: Confirming Intuitive Thoughts in Hip Preservation. In a biomechanical laboratory study of 63 bovine hip labra examining suture configuration, passer size, and radiofrequency treatment, superior biomechanical properties were found for vertical and oblique sutures compared with horizontal sutures, smaller puncture holes were better compared with large bore holes in the labra, and radiofrequency strengthened labra only when horizontal suture configuration was used (...) of the art, the current winning formula appears to be labral base refixation with vertical or oblique mattress configuration, performed with small diameter suture passage devices.Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2016 Arthroscopy PubMed abstract

86. Dysphagia Following Airway Reconstruction in Adults. (Full text)

to prolonged intubation, with 3 (8%), 5 (13%), and 6 (16%) cases being due to autoimmune, idiopathic, or other etiology, respectively. Twenty-five (66%) patients underwent tracheal or cricotracheal resection, and 13 (34%) underwent laryngotracheoplasty or posterior cricoid split laryngoplasty. Of the 17 patients with stents placed, 6 (35%) patients had a suprastomal stent sewn at the top with a polypropylene suture using a horizontal mattress technique, 6 (35%) patients had a suprastomal stent capped

2015 JAMA otolaryngology-- head & neck surgery PubMed abstract

87. NIche Development With Closure of Cesarean Uterotomy by Modified or Conventional Two-layer Technique

with the stitches placed superficially, horizontally along the first layer. Experimental: Modified technique Closure of the uterotomy with a modified two-layer technique Procedure: Modified The modified mattress suture is performed as a single-suture, double-layer technique with limited inclusion of the myometrium and broad inclusion of the serosal surface and myometrium, interchangeably Outcome Measures Go to Primary Outcome Measures : Presence of a cesarean scar niche more than 2 mm deep. [ Time Frame: 6 (...) ) Actual Study Start Date : May 1, 2015 Actual Primary Completion Date : May 2, 2018 Estimated Study Completion Date : March 2023 Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Conventional technique Closure of the uterotomy with a conventional two-layer technique Procedure: Conventional Two-layer technique with the first layer performed as an un-locked, continuous suture without inclusion of the endometrium and the second layer performed as an un-locked, continuous suture

2015 Clinical Trials

88. Esthetic Outcomes of Single Immediate Implant Placement

and full thickness flaps will be elevated with periosteal elevator, including the papillae. The implant will be placed according to standard protocol at a position engaging the palatal wall, and the flaps will be sutured using a combination of interrupted and mattress sutures. In both groups, temporary restorations will be delivered immediately after implant placement provided that the implant shows primary stability and has engaged in the bone with an insertion torque of 25Ncm or more (Norton, 2004 (...) Information provided by (Responsible Party): Panos Papapanou, Columbia University Study Details Study Description Go to Brief Summary: A randomized controlled trial of 12-month duration to compare gingival margin location, buccal horizontal ridge dimensions, and interproximal crestal bone levels following two surgical approaches for immediate placement of implants in the esthetic zone: one involving flap elevation and another using a flapless protocol. Condition or disease Intervention/treatment Phase

2015 Clinical Trials

89. MicroRNA and MicroRNA Inhibitors Socket Study, Pilot Clinical Trial

and recorded for both groups (i.e. keratinized mucosa width, horizontal ridge width, facial and lingual bone thickness). 10µg of PMIS miR200a plasmids in a biodegradable sponge (type I bovine collagen) will be locally delivered. The site will be stabilized with a simple external, cross mattress suture. Blood, wound fluid, and saliva samples will be taken periodicallly. In addition, photos/videos, periapical xrays and PVS impressions will be obtained. Procedure: tooth extraction The study tooth (...) will be removed Radiation: CBCT scan a CBCT scan limited to the dental arch that includes the study side will be obtained Drug: Anesthesia all subjects will receive local infiltrative anesthesia, prior to extraction of the tooth Other Name: local infiltrative anesthesia Other: clinical measurements After tooth extraction, clinical measurements of the site will be obtained and recorded (keratinized mucosa width, horizontal ridge width, facial and lingual bone thickness Procedure: cross mattress suture The site

2015 Clinical Trials

90. The Tight Adaptation at Pancreatic Anastomosis Without Parenchymal Laceration: An Institutional Experience in Introducing and Modifying the New Procedure. (Abstract)

Blumgart method was demonstrated by comparing to that of Kakita method.Retrospective analysis of 156 patients underwent elective open PD, reconstructed former 78 patients with the Kakita method, utilizing a full-thickness penetrating suture for tight stump adhesion. The later 78 patients were treated with the modified Blumgart method, which involved clamping the pancreatic parenchymal stump by the jejunal seromuscular layers with horizontal mattress-type penetration sutures. Evaluated variables were

2015 World Journal of Surgery

91. Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy (Full text)

robotic transperitoneal approach. The renal artery and vein were individually clamped with robotic vascular bulldog clamps to allow cold scissor excision of the tumour. The cut surface was then sutured with one or two running 3-0 V-Loc (TM) sutures, following which the vascular clamps were released. Specific bleeding vessels were then selectively oversewn and the collecting system repaired. Renorrhaphy was then completed using a running horizontal mattress 0-0 V-Loc (TM) suture.A total of 16 patients

2015 F1000Research PubMed abstract

92. A Clinical Study to Investigate Collagen Matrix 10808 for Soft Tissue Volume Augmentation Around Single Implants

in the pouch under the elevated buccal flap. A horizontal mattress suture will be made to immobilize graft to the flap followed by four to five single sutures to close the wound. Connective tissue graft (gold standard) Mucosal split-thickness flap in combination with the connective tissue graft. Procedure: Connective tissue graft At the day of the Intervention (day 0) sulcular incisions will be made around the neighbouring teeth and a straight incision from the lingual/palatal line angle of the distal (...) tooth to the lingual/palatal line angle of the mesial tooth. A full thickness flap will be elevated on the lingual side, whereas a split flap will be made at the buccal aspect preparing a soft tissue pouch without the preparation of horizontal release incisions. The Connective tissue graft (Gold Standard) will then be positioned in the pouch under the elevated buccal flap. A horizontal mattress suture will be made to immobilize graft to the flap followed by four to five single sutures to close

2014 Clinical Trials

93. Incisionless Otoplasty: A Reliable and Replicable Technique for the Correction of Prominauris. (Full text)

of sutures used, perioperative complications, and postoperative follow-up including complications and revisions. Complications included infection, hematoma, bleeding, perichondritis, suture granuloma, suture exposure, and suture failure.A mean (SD) 2.5 (0.8) sutures were used in the left ear, 2.48 (0.75) in the right ear, and 4.69 (1.75) in total. The number of sutures used in the left vs right ear was not significantly different (P = .60). All patients had horizontal mattress sutures placed (...) for correction of prominauris. There were no serious perioperative complications such as infection, bleeding, hematoma, perichondritis, or cartilage necrosis. Follow-up data were extracted and analyzed in 70 patients, with a mean follow-up time of 31 months. Complications were seen in 10 patients (14%): 4 were due to suture failure, 3 were due to suture exposure, 2 were due to granuloma formation, and 1 was due to a Polysporin (bacitracin zinc/polymyxin B sulfate) reaction. Nine patients (13%) needed

2014 JAMA facial plastic surgery PubMed abstract

94. The tarsal belt procedure for the correction of ectropion: description and outcome in 42 cases. (Abstract)

of 42 patients aged between 48 and 75 years (average age 61.5 years) were treated with this technique. This procedure consists in a trans-tarsal mattress non-absorbable suture anchored to the periosteum of the lateral orbital rim, combined with a small wedge excision of a lateral portion of the tarsus close to the lateral canthal tendon. During the same period, 66 patients were treated with the standard lateral tarsal strip technique. Preoperative and postoperative Ectropion Grading Scale (EGS (...) to be effective to correct the horizontal and vertical instability of the lid. The suture supports the lower eyelid along the entire tarsal plate length and corrects the outward buckling of the tarsal plate.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

2014 British Journal of Ophthalmology

95. Anatomical study for SLAP lesion repair. (Abstract)

origin tends to be stiffer. Fibres of the sheet-like structure ran vertically to LHB.Fibre orientation and the stiffness of the sheet-like structure suggest its support of LHB. As LHB fibres do not anteriorly cross over 'A', 'A' could be a landmark for the anterior border of LHB, independent from the sheet-like structure. Considering a previous report mentioning that the horizontal mattress suture maintains the meniscus-like structure which might be sufficient for proper motion of the normal superior (...) labrum, the horizontal mattress suture not crossing over 'A' should be recommended from the viewpoint of functional anatomy.

2014 Knee Surgery, Sports Traumatology, Arthroscopy

96. Closure technique for leaking wound resulting from thermal injury during phacoemulsification. (Abstract)

Closure technique for leaking wound resulting from thermal injury during phacoemulsification. We describe a method of wound closure with a conjunctival flap in cases of wound burn. A fornix-based conjunctival flap is raised to adequately cover the wound. Then, a single horizontal mattress suture with 10-0 monofilament nylon is passed to appose the wound. The conjunctival flap is hinged to the corneal end of the loop so the conjunctival flap covers the wound when the suture is tied. The wound (...) is thus sealed by conjunctiva with optimum suture tension. This suture was applied in 5 patients with clear corneal incisions who developed wound burn during phacoemulsification. All had an uneventful recovery with a sealed wound from the first postoperative day and satisfactory visual outcomes with low residual astigmatism at the final refraction.Neither author has a financial or proprietary interest in any material or method mentioned.Copyright © 2014 ASCRS and ESCRS. Published by Elsevier Inc. All

2014 Journal of cataract and refractive surgery

97. Scar Revision (Diagnosis)

traumatized during closure may develop wound dehiscence or undergo skin-edge necrosis, thus leaving unsightly scars. Likewise, wounds that are unevenly or improperly repaired, become infected, or undergo foreign body reactions to sutures more frequently yield poor cosmetic results. Traumatic wounds traditionally yield poorer eventual scars. Common etiologies of widened or dehisced scars include wounds closed under tension, repairs not formed parallel to relaxed skin tension lines (RSTLs), or wounds (...) realignment of the cutaneous landmarks may be performed on scars that are appropriately oriented in RSTLs. Z-plasty can be used to realign scars within RSTLs or correct any step-off deformity at the vermilion border. Scars crossing horizontally over the mentum generally follow RSTLs and therefore are best treated with a running W-plasty (see image below). Laterally based and more obliquely directed scars are good candidates for Z-plasty because the primary objective here is to redirect the scar


98. Nasal Reconstruction (Diagnosis)

include proper flap design, wide undermining to minimize wound-closure tension, meticulous hemostasis, delicate handling of tissue, and strict preservation of a highly vascular muscular flap base. Surgical attention should be directed toward the delicate handling of tissue and properly everting buried sutures, because incision lines on the nasal tip and alae are more visible than incision lines placed elsewhere on less sebaceous skin. Any flap should be carefully sized in both the horizontal dimension (...) not have any identifiable relaxed skin tension lines; therefore, closures in this area should be oriented vertically to prevent alar asymmetry. As with all linear closures on the nose, the tissue should be undermined at the level of the perichondrium. The wound is approximated by using buried vertical mattress sutures following meticulous hemostasis. Particular attention is paid to wound-edge eversion on the sebaceous areas of the nose, because surgical scars tend to invert in thickly skinned areas


99. Laparoscopic Pelvic Lymph Node Dissection (Diagnosis)

perforation can be minimized by limiting the use of electrocautery in the area of the intestine that needs mobilization in order to expose the pelvic lymph nodes. A short burst of electrical energy is sufficient to create a full-thickness injury to the bowel. In addition, abrasions that occur during mobilization of the colon should be covered using horizontal mattress sutures placed laparoscopically. [ ] By carefully identifying the obturator nerve (located in the posterior aspect of the dissection


100. Scalp Reconstruction (Overview)

in a subcuticular manner to create a classic purse-string closure. An additional epidermal running horizontal mattress suture is then placed to minimize the defect and provide extended wound strength. This technique can be useful in larger defects of the scalp. [ ] Side-to-side closure See the list below: Advantages and disadvantages Side-to-side closure is often the preferred method to repair a scalp wound for a number of reasons. The healed wound has the potential to be cosmetically elegant, the repair (...) sutures. These buried sutures should be placed as subcutaneous buried vertical mattresses to maximize wound eversion. A large-caliber monofilament or braided suture such as 4-0 nylon or silk is recommended for the layer of cutaneous sutures. Interrupted cutaneous sutures allow for more precise wound apposition and eversion. Cutaneous vertical mattress sutures should be used as needed for maximal wound support and eversion. Wound care should consist of the application of a pressure dressing for 24


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