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Latest issue: SURGICAL TECHNOLOGY INTERNATIONAL 28th Edition

Surgical Technology International - Peer-reviewed - Indexed on PUBMED
42 articles presenting the latest operative surgical techniques and technological developments in Surgery.
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Surg Technol Int. 2016 May; Volume 28 ISSN: 1090-3941

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SURGICAL TECHNOLOGY INTERNATIONAL 28TH EDITION e-pub

Abstract: Introduction: Haemostasis is a critical part of surgery. Haemostatic agent selection is based upon a number of factors including surgeon’s experience and choice. This post-marketing survey determined surgeons’ intraoperative use and perception of Hemopatch® (Baxter Healthcare Corporation, Deerfield, IL), a resorbable collagen-based sealing haemostat. Methods and Participants: A one-arm questionnaire...
Abstract: Introduction: The purpose of our study was to compare the effect, on the inflammatory response and fibrosis formation, of four commercially available sealant products applied on an injured trachea in a Wistar rat population. Materials and Methods: We compared four different sealants: cyanoacrylate, fibrin/thrombin, albumin/glutaraldehyde, and...
Abstract: Suturing is an essential surgical technique, because there is no resection without the need for reconstruction. Therefore, every surgeon should master a set of suturing techniques so he can adapt his approach to the specificity of the situation. The development of laparoscopic surgery poses a new challenge as not all...
Abstract: Persistence of skin wounds due to underlying disease, bacterial contamination, and/or repeated trauma, causes a chronic condition where a functional extracellular matrix (ECM) cannot be established and the normal wound-healing cascade is unable to progress. These open chronic wounds leave the body susceptible to infection and present a major healthcare...
Abstract: As the prevalence of chronic wounds continues to rise, the need for point of care wound assessment has also increased. While a variety of technologies have been developed to improve diagnostic abilities and monitoring of wounds, none have proven completely effective in all settings. Further, many of the stalwart wound...
Abstract: Hyperbaric oxygen (HBO) therapy is a versatile modality that has applications across several medical fields. HBO therapy has become a valuable asset in the management of compromised tissue grafts and flaps. Although classified together, grafts and flaps are distinctly different, in that grafts depend on the wound bed for revascularization,...
Abstract: As the prevalence of chronic wounds continues to rise, the need for point of care wound assessment has also increased. While a variety of technologies have been developed to improve diagnostic abilities and monitoring of wounds, none have proven completely effective in all settings. Further, many of the stalwart wound...
Abstract: Introduction: TransAnal Minimally Invasive Surgery (TAMIS) has generated interest and attracted research in the last decade. This approach is used to treat primary benign and malignant diseases, but it can also be adopted to resolve colorectal complications, such as leak and fistula, bleeding and stenosis. A new reusable transanal...
Abstract: The surgical management of pilonidal disease ranges from minimally invasive techniques to wide excision with secondary Advanced Wound Healing. Hypothetical counterarguments for using the minimally invasive techniques are that these techniques only incompletely remove the sinus tract and that they allow the formation of subcutaneous cavities as a result of...
Abstract: Introduction: Opioids are commonly used in the postoperative period to manage postsurgical pain. However, adverse side effects of opioids include respiratory depression, urinary retention, pruritus, vomiting, nausea, constipation, and increased risk of falls. Surgical site infiltration with extended release liposomal bupivacaine is effective in the multimodal care plan of managing...
Abstract: Background: The sleeve gastrectomy is being performed increasingly as a primary procedure for the treatment of morbid obesity. A minimally invasive approach is currently applied to the procedure. The two major steps are dissection and stapling. For dissection, several tools have been developed. The goal of this study was...
Abstract: Background: There is no standard routine closure technique in the management of appendiceal stump. Therefore, the ideal method should be determined based on the condition of the radix of the appendix. Aim: The aim of this study was to evaluate appendiceal stump closure methods in patients undergoing laparoscopic appendectomy...
Abstract: Introduction: The Ultrapro® Advanced™ mesh (Ethicon, Sommerville, NJ) is a new mesh design, using the best characteristics from the previous platform, while adding new, advanced features. Our centre, Imelda Hospital, Bonheiden, Belgium, was chosen as one of the first clinical testing sites. The aim of...
Abstract: There have been a variety of absorbable and permanent tacks, tack deployment systems, and fasteners developed for the fixation of mesh during laparoscopic ventral hernia repair. The manufacturer recommendation for all systems is for perpendicular deployment of these tacks into the tissue. Achieving this optimal angle with previously developed deployment...
Abstract: Since 1989, the authors have been using the Trabucco tension-free and sutureless technique for the repair of primary groin hernia with a pre-shaped mesh in more than 8,000 surgical procedures for complex and “simple” abdominal and inguinal hernias; over 4,000 cases have been considered in this study. The great majority...
Abstract: Background: Laparoscopic approach is now generally accepted for the treatment of incisional hernia. The ideal mesh is still to be found. The aim of this study is to compare the well-known Gore® DUALMESH® Plus (WL Gore & Associates, Flagstaff, AZ) to a new prosthesis, the DynaMesh®-IPOM...
Abstract: Parastomal hernia is one of the most common stoma related complication, with the correlated risk of incarceration, obstruction, and strangulation. The incidence is high (30–50%) and depends on the length of follow up. Different surgical options for repairing are defective with a 25–70% failure and recurrence rate. Prevention of parastomal...
Abstract: The use of barbed suture has enabled general and minimally invasive gynecological surgery (MIGS) surgeons to close surgical wounds more efficiently with minimal complications. This article reviews developments in barbed (knotless) sutures and related devices. Authors: James Dana Kondrup, MD, Assistant Clinical Professor of OB/GYN, Department of OB/GYN, Our Lady of Lourdes...
Abstract: Objective: We present clinical data on two patients who underwent hysteroscopic sterilization (HS) 11 years apart using the Essure® (Bayer Inc., Whippany, NJ) device. Materials and Methods: Symptoms and resolution are described for symptomatic Essure® patients. Results: Case 1 (G3P1) underwent HS in 2004 at age...
Abstract: Introduction: Although laparoscopy is widely established for ablative urologic procedures, pelvic reconstructive procedures are still mostly performed by open-surgery. As urologists continue to introduce advanced laparoscopic skills to reconstructive urologic procedures, we present our experience with a laparoscopic psoas hitch double ureteral re-implantation in a patient with an ureterovaginal fistula...
Abstract: Endometrial polyps (EPs) are a common cause of abnormal uterine bleeding (AUB) in perimenopausal and postmenopausal women and are typically suggested by a screening transvaginal ultrasound. In addition, the increasing use of pelvic imaging often discloses asymptomatic EPs. In the past, saline infusion sonography (SIS) has been advocated in order...
Abstract: The introduction of knotless barbed suture into the surgical market has decreased the challenges of laparoscopic suturing. Since its introduction, barbed suture has gained popularity in the field of minimally invasive gynecologic surgery and is now commonly used to close the vaginal cuff in total laparoscopic hysterectomy, to re-approximate the...
Abstract: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital disorder characterized by uterine aplasia and aplasia of the upper part of the vagina. It presents with primary amenorrhea in a 46, XX individual. In this paper, we report the cases of two patients with MRKH syndrome treated with the laparoscopic modified Vecchietti technique...
Abstract: Abdominal wall endometriosis (AWE) is a rare condition included in the differential diagnosis of an abdominal wall mass and/or pelvic pain in women of reproductive age. It usually occurs after pelvic surgery, most commonly caesarean section. Given the variable clinical presentation, diagnosis can be challenging if a high index of...
Abstract: Optimal revascularization strategy in patients with multi-vessel coronary artery disease remains a matter of debate, with advantages and disadvantages in both surgical and percutaneous procedures. A combined approach to achieve coronary revascularization, termed “hybrid coronary revascularization” (HCR), has been recently introduced in clinical practice. HCR is defined as a scheduled...
Abstract: Objective: We describe our experience at the James Cook University Hospital (UK) in using the curved Radial Reload™ (RR) stapler (Medtronic, Dublin, Ireland) for lung wedge resections, which is an endoscopic stapler used mainly in endoscopic general surgery. Materials and Methods: A single center experience (James...
Abstract: Aortic dissection (AD) is one of the most common catastrophic pathologies affecting the aorta. Anatomic classification is based on the origin of entry tear and its extension. Type A dissections originate in the ascending aorta, whereas the entry tear in Type B dissections starts distal to the left subclavian artery....
Abstract: Elevated diaphragm can be due to diaphragmatic eventration or diaphragm paralysis. Diaphragm paralysis is a rare condition that can be congenital or acquired. Acquired diaphragmatic paralysis can result from injury to the phrenic nerve. Subsequently, there is loss of contractility of the diaphragm muscle leading to progressive atrophy and, hence,...
Abstract: Introduction: Proper ligament tension in flexion with posterior cruciate retaining (CR) total knee arthroplasty (TKA) has long been associated with clinical success. The purpose of this study was to determine the effect of varying levels of posterior cruciate ligament (PCL) release on the tibiofemoral kinematics and PCL strain. Materials and Methods:...
Abstract: Background: Manipulation under anesthesia (MUA) can help post-total knee arthroplasty (TKA) patients who have knee stiffness regain range-of-motion. However, despite undergoing MUA, patients may have persistent knee stiffness. Often, this persistent knee stiffness is treated with a repeat MUA. Therefore, the purpose of this study was to evaluate repeat MUAs...
Abstract: The surgical site contamination and the resulting periprosthetic infections are an important cause of morbidity and socio-economic impact. In total knee arthroplasty, the single-use instrumentation is developed to simplify the surgical procedure, reduce the chance of instrument contamination, improve the operating room efficiency, and reduce overall costs (low cost of...
Abstract: Introduction: To ensure the continued success of total knee arthroplasties (TKAs), we must employ ever-evolving modifications to our techniques and implant designs. As part of this process, a knee prosthesis with a single radius (SR) has been developed to more precisely emulate the anatomy and biomechanics of the native knee,...
Abstract: The potential for using mobile applications (apps) as an effective tool to monitor patients in an outpatient setting is promising. Past studies have investigated the use of applications in preoperative and postoperative settings as well as in monitoring and treating chronic illnesses such as diabetes, congestive heart failure (CHF), and...
Abstract: Introduction: There is increasing pressure from Centers for Medicare and Medicaid Services (CMS) to report quality measures for all hospitalizations. These quality measures are determined based on results from satisfaction surveys, such as Press Ganey® (PG) (Press Ganey® Performance Solutions, Wakefield, Massachusetts). Included in this particular survey element are questions...
Abstract: Introduction: Evaluating outcomes following total hip arthroplasty (THA) has been essential for improving satisfaction and quality of care. However, finding systems that fully encompass these outcomes poses a challenge for physicians, and often still do not provide an adequate picture of a patient’s recovery. Therefore, we evaluated different scoring systems...
Abstract: Introduction: Newer generation cementless femoral stems have been designed to emulate more precisely the anatomy of the native femur. However, few studies have evaluated these designs. The purpose of this study was therefore to evaluate outcomes of primary total hip arthroplasty (THA) in patients who received a...
Abstract: Introduction: Many standardized scales and questionnaires have been developed to assess outcomes of patients undergoing total hip arthroplasty (THA). However, these surveys can be a burden to both patients and orthopaedists as some are time-inefficient. In addition, there is a paucity of reports assessing the time it takes to complete...
Abstract: Case: Schwannomas are benign nerve myelin sheath tumors that can occur anywhere in the peripheral nervous system. It is very rare for Schwannomas to become malignant, but surgery is still the principal treatment to eliminate symptoms and to correctly diagnosis the tumor. We report an interesting case of a schwannoma...
Abstract: Background: The surgical management of pseudoarthrosis is often a challenge. The use of mesenchymal multipotent cells expanded and manipulated in the laboratory is an interesting treatment of pseudoarthrosis, because they can lead to differentiation into osteocytes and thus the formation of bone tissue. Case Description: We present...
Abstract: Objective: Transcutaneous electrical nerve stimulation (TENS) may provide a safe alternative to current side-effect-heavy narcotics and anti-inflammatories utilized in chronic low back pain. Therefore, we performed a meta-analysis to evaluate the efficacy of TENS for the treatment of chronic low back pain. Materials and Methods: We included...
Abstract: The need for spinal fixation in patients who cannot tolerate classical open surgery has led in recent years to the development of minimally invasive approaches. The use of percutaneous pedicle screw fixation offers several advantages, such as less blood loss and postoperative pain due to blunt separation of the muscles...
Abstract: Objective: It is a well-established fact that women who have large, heavy breasts suffer from spine pain. The objective of this study is to assess the forces that the breast exerts on the spine. It is important that such women understand the stresses that the spine is forced to sustain...
 

Featured Articles

breast-forces-on-the-spine Abstract: Objective: It is a well-established fact that women who have large, heavy breasts suffer from spine pain. The objective of this study is to...
percutaneous-pedicle-screw-fixation-technique-in-the-thoracic-and-lumbar-spine-tips-and-tricks Abstract: The need for spinal fixation in patients who cannot tolerate classical open surgery has led in recent years to the development of...
a-meta-analysis-of-transcutaneous-electrical-nerve-stimulation-for-chronic-low-back-pain Abstract: Objective: Transcutaneous electrical nerve stimulation (TENS) may provide a safe alternative to current side-effect-heavy narcotics...
grafting-of-expanded-mesenchymal-stem-cells-without-associated-procedure-in-a-healed-case-of-ulna-pseudarthrosis-a-case-report Abstract: Background: The surgical management of pseudoarthrosis is often a challenge. The use of mesenchymal multipotent cells expanded and...
giant-schwannoma-of-the-saphenous-nerve-in-the-distal-thigh-a-case-report Abstract: Case: Schwannomas are benign nerve myelin sheath tumors that can occur anywhere in the peripheral nervous system. It is very rare for...
time-burden-of-standardized-hip-questionnaires Abstract: Introduction: Many standardized scales and questionnaires have been developed to assess outcomes of patients undergoing total hip...
outcomes-of-second-generation-tapered-wedge-femoral-stem Abstract: Introduction: Newer generation cementless femoral stems have been designed to emulate more precisely the anatomy of the native...
an-assessment-of-the-comprehensiveness-of-various-hip-outcome-scores Abstract: Introduction: Evaluating outcomes following total hip arthroplasty (THA) has been essential for improving satisfaction and quality of...
what-influences-how-patients-rate-their-hospital-after-total-knee-arthroplasty Abstract: Introduction: There is increasing pressure from Centers for Medicare and Medicaid Services (CMS) to report quality measures for all...
mobile-application-use-in-monitoring-patient-adherence-to-perioperative-total-knee-arthroplasty-protocols Abstract: The potential for using mobile applications (apps) as an effective tool to monitor patients in an outpatient setting is promising....
long-term-survivorship-and-clinical-outcomes-of-a-single-radius-total-knee-arthroplasty Abstract: Introduction: To ensure the continued success of total knee arthroplasties (TKAs), we must employ ever-evolving modifications to our...
single-use-instrumentation-technologies-in-knee-arthroplasty-state-of-the-art Abstract: The surgical site contamination and the resulting periprosthetic infections are an important cause of morbidity and socio-economic...
what-is-the-efficacy-of-repeat-manipulations-under-anesthesia-to-treat-stiffness-following-primary-total-knee-arthroplasty Abstract: Background: Manipulation under anesthesia (MUA) can help post-total knee arthroplasty (TKA) patients who have knee stiffness regain...
effect-of-varying-posterior-cruciate-ligament-pcl-recessions-on-kinematics-and-ligament-strains-with-cruciate-retaining-total-knee-prostheses Abstract: Introduction: Proper ligament tension in flexion with posterior cruciate retaining (CR) total knee arthroplasty (TKA) has long been...
vats-diaphragm-plication Abstract: Elevated diaphragm can be due to diaphragmatic eventration or diaphragm paralysis. Diaphragm paralysis is a rare condition that can...