[Education (university training in mechanical sutures)].
1
Citation
0
Reference
10
Related Paper
Citation Trend
Abstract:
The advances in surgical sciences and their evolution, besides the increasing number of surgical residents and the low availability of the operating-rooms, have made clear the limits of the usual teaching methods and of the integrative theoretical learning instruments. The teaching of viscero-synthesis, particularly mechanical suture training, emphasizes such problems and encourages the development of additional training programmes, including simulation, before the admittance to operative procedures.Cite
Summary 1. A small series of 24 patients is presentee in whom haemorrhoidectomy was followec by primary suture of the operatior wounds. 2. The chief advantage of the technique was quicker healing of the wounds and shortened convalescence. 3. The only disadvantage was an increased incidence of skin tags. 4. No difference in post‐operative pain was noted in patients in this series compared to patients undergoing the “standard” Milligan‐Morgan operation.
Convalescence
Cite
Citations (1)
Pouch
Cite
Citations (8)
Cite
Citations (0)
The question of how to deal with the abdominal wound in perforative appendicitis with purulent effusion, after removing the appendix and cleaning the peritoneum of pus, is solved differently by individual surgeons: some, apparently, not counting on the absorption and protective ability of the peritoneum, consider it necessary in all such cases to leave the wound open, introducing a tampon or drainage into it: Others, more confident in the resistance of the peritoneum to infection, in the same cases close the abdominal wound completely, and believe that the drainage of the abdominal cavity is not feasible at all (Rotter, Haberer).
Abdominal cavity
Abdominal wound
Peritoneal Effusion
Peritoneal cavity
Cite
Citations (0)
Cite
Citations (0)
From November 1992 to March 1994 we performed 100 transabdominal laparoscopic herniographies in 84 patients. The mean age was 54.6 years. 83% of all hernias were primary, 17% recurrent and 16% bilateral. All hernias were classified according to Nyhus and individually repaired. Except in type 2 hernias, a large polypropylene mesh was inserted (15 x 12 cm) and the peritoneum closed with a running suture. During a mean follow-up time of 14 months no recurrent hernias, infections or bowel adhesions were observed. The mean postoperative hospital stay was 4.1 days and the mean time off work 16.4 days. Intraoperative complications were found in 11.9%, early postoperative complications in 25% and late postoperative complications in 3.6%.
Cite
Citations (2)
Objective To discuss the cause of the postoperative complications, prevention and treatment measures of circumcision with disposable circumcision suture device, so as to reduce the incidence of postoperative complications,further improve the quality of the circumcision. Methods A total of 111 patients undergoing circumcision with disposable circumcision suture device were included. Complications and the satisfaction of the post-operative appearance were evaluated. Results The total rate of postoperative complications was 8.1%(9/111). The complications were infection 1.8%(2/111),bleeding 6.3%(7/111),without wound dehiscence and penile edema. Conclusion Circumcision with disposable circumcision suture device has the advantages of fewer complications, and higher satisfied postoperative appearance of the penile. Most of the complications can be treated with conservative management.
Male Circumcision
Cite
Citations (0)
Objective To analyze management techniques of surgical treatment for benign thyroid nodule(BTN),and explore how to reduce operation complications.Methods The clinical data of 178 BTN patients who underwent surgical treatment were retrospectively analyzed.The correlation between ultrasound and neck CT and intraoperative lesions,ways to improve incisions,suture techniques and the influence of intraperative operations on postoperative complications were summarized.Results Ultrasound combined with neck CT can identify the number of lesions and status of the peripheral lymph nodes.Lower position incision and suture technique improvement can reduce scars.Intraoperative reservation of dorsal thyroid tissue can reduce the recurrent laryngeal nerve injury.Drainage can reduce neck swelling time.Conclusion Ultrasound combined with CT can prevent the omission of intraoperative nodules,lower position incision and suture techniques can reduce scars.Appropriate intraoperative management technique can significantly reduce the incidence of postoperative complications.
Nodule (geology)
Cite
Citations (0)
In a prospective study aimed at evaluating a safe treatment for perforated peptic ulcer in tropical African conditions 205 patients who presented with perforation of a peptic ulcer in South-Eastern Nigeria during the ten year period January 1973 to December 1982 were treated by simple suture. The ulcers were classified at operation from appearance and feel as acute in 155 patients (75.6%), and chronic in the remaining 50 patients (24.4%). Of this number 21 patients (10.2%) died post-operatively. All 21 patients had chronic pyloroduodenal ulcers which were complicated by haemorrhagic in 10 patients (5.0%) and extensive scarring of the duodenum and pyloric stenosis in 9 patients (4.4%). By way of contrast, no patient with acute pyloroduodenal ulcer died and none was known to suffer from recurrent dyspepsia at 6 months to 1 year follow-up. These results clearly show that simple suture is adequate and safe treatment for perforated acute pyloroduodenal ulcer; however, this form of treatment carries an unacceptably high mortality in those patients with perforated chronic pyloroduodenal ulcers. These patients should, where feasible, be treated by definitive ulcer - curative surgery.
Perforation
Peptic
Pyloric Stenosis
Cite
Citations (3)