• Title/Summary/Keyword: suture

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Reduction and Fixation Methods for Fractured Anterior Maxillary Sinus Wall Using Suture Tie (봉합결찰법을 이용한 골절된 상악동 전벽의 정복과 고정)

  • Jeong, Hyun Gyo;Kang, Jae Kyoung;Song, Jung-Kook;Shin, Myoung Soo;Yun, Byung Min
    • Archives of Craniofacial Surgery
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    • v.14 no.2
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    • pp.111-114
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    • 2013
  • The anterior maxillary sinus walls are the most frequently injured sites in midfacial fractures. The maxillary sinus is a difficult surgical site for reduction and fixation due to its narrow surgical field, and has a chance of developing sinusitis when sufficient treatment is not given. In this study, the methods developed by the authors for managing such are introduced. Two small openings were made on both sides of the fracture line, then a suture knot was tied instead of wiring for reduction and fixation. Then an absorbable mesh was applied on top of the fracture site, with a suture knot for additional fixation. This method was applied on an actual patient, and it was a convenient method despite the narrow surgical field that was provided. The authors believe that using suture knots to fixate fractured segments and absorbable mesh is relatively convenient and economically efficient when it comes to the reduction and fixation of the maxillary sinus wall fracture with several fragments.

A Study about Suture Surgery written in Traditional Korean Medical Books (한국 한의학 문헌에 나타난 봉합수술에 관한 소고)

  • Pahng, Sunghye;Cha, Woongseok;Kim, Namil
    • The Journal of Korean Medical History
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    • v.23 no.2
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    • pp.47-56
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    • 2010
  • The objective of this article is to investigate and analyze the way how the suture surgery was operated in case of external wound or incision in past Korea. The method to do this study was to search the books on the website, Knowledge of Oriental Medicine Web Service, databased and serviced by Korean Institute of Oriental Medicine. The searching key word was '縫'. The results was as follows. According to the website search, ten subjects of suture surgery could be classified: sword wound(金瘡), horse bite(馬咬), intestine incision(腸肚傷), knife or ax wound(刀斧傷), larynx incision(割喉), intestine protrusion by cow collision(牛觸腸出), self-stabbing of neck(自刎), falling from tree(童稚上木墮下), lip injury(趺損唇皮) and face wound(顔面의 外傷). Furthermore, the kinds of suturing fiber, the way how to stitch, the kinds of medical care before and after the suture surgery could also be found

Does Abdominal Quilting Suture Prevent Seroma in TRAM Flap Breast Reconstruction? (횡복직근피판술을 이용한 유방재건술 시 상복부의 누빔 봉합이 장액종을 예방하는가?)

  • Lee, Min-Young;Lee, Taik-Jong
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.241-244
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    • 2011
  • Purpose: Seroma formation is still major complication of abdominal donor site after TRAM flap surgery in spite of various efforts to reduce seroma formation such as closed suction drain. We performed a clinical study, that quilting suture at abdominal donor site can prevent seroma formation. Methods: Between May 2002 and September 2008, we performed 600 breast reconstructions using a unilateral TRAM flap except patients who has smoking history or abdominal scar. We performed 300 breast reconstructions without quilting sutures (A: Experimental group) until January 06, and after then 300 reconstructions with quilting sutures (B: Control group). We compared total drain output (mL), time to drain removal (days), and donor site complications between two groups. Results: There were no statistical difference at BMI (p=0.28) and time to remove suction drain between two group. (A: 8.37, B: 9.69) (p=0.40) But, total drain output was reduced with quilting suture. (A: 432.5, B: 495.2) (p=0.005) And also complication rate was decreased, such as seroma formation, epigastric bulging. (A: 1%, B: 7%) (p=0.005) Conclusion: Quilting suture is a simple and reliable method to reduce seroma formation and abdominal donor site complication.

Therapeutic Effect of a Double Locking-loop Suture Pattern on the Elbow Luxation with Rupture of Collateral Ligament in a Dog (곁인대가 파열되고 주관절이 탈구된 개에서 이중 Locking-loop 봉합법의 치료효과)

  • Lee Jae-yeong;Kim Joong-hyun;Kim So-seob;Lee Seung-keun;Choi Seok-hwa
    • Journal of Veterinary Clinics
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    • v.21 no.4
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    • pp.406-408
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    • 2004
  • A nine-month-old male Jindo with non weight-bearing on the right forelimb in flexed position, pain and edema of the elbow, and resist elbow extension was brought to the Veterinary Teaching Hospital, Chungbuk National University. Elbow radiographs showed loss of humeroradial joint space and lateral displacement of the radius and ulna. Closed reduction was reported the best therapy in most cases of luxation of the elbow but conservative reduction was impossible. Open reduction of the luxated elbow was performed and ruptured collateral ligaments were identified. Displaced elbow was required bloody surgical operation and gentle reduction to restore elbow joint. Internal reduction of choice for elbow luxation with rupture of collateral ligament in the dog was a double locking-loop suture pattern. To ensure secure grasping of parallel bundles of ligament fibers to transverse bites of each suture were placed superficial to the longitudinal bites. All ligaments were repaired with 3-metric (size 2 USP) monofilament polypropylene suture. No complications have been noted during a five-month follow up.

Arthroscopic Capsular Repair without Relaying Sutures: 'Simple Sewing Technique'

  • Kim, Hyungsuk;Song, Hyun Seok;Kang, Seung Gu;Han, Sung Bin
    • Clinics in Shoulder and Elbow
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    • v.22 no.3
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    • pp.146-148
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    • 2019
  • We report a simple technique for repairing capsular tear, using only a hook-like, cannulated instrument and braided sutures without relaying steps. A No. 2 braided suture is passed through the lumen of the instrument. Under direct arthroscopic view, the tip of the instrument is passed through the side of the capsule that has previously been separated with the probe. One end of the suture is retrieved with a grasper through a separate portal. The tip is moved back without withdrawing through the skin, and reinserted into the other side of the capsule. Holding the end retrieved earlier, the other end of the suture is retrieved with a suture retriever. After complete removal of the instrument, the suture is tied through a cannula using the standard knot tying techniques. The same procedures are repeated for other required knots.

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture - (큰 크기의 회전근 개 파열에서 UU-Tension Band Suture를 이용한 관절경 감시하의 봉합술 - 단순 봉합술과의 비교 -)

  • Ko, Sang-Hun;Lee, Chae-Chil;Shin, Seung-Myeong;Kim, Sang Woo;Cho, Bum-Keun
    • Clinics in Shoulder and Elbow
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    • v.15 no.2
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    • pp.99-108
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    • 2012
  • Purpose: To evaluate the clinical results of arthroscopic repair with UU-Tension Band suture for full thickness rotator cuff tear above 4 cm sized. Materials and Methods: From January 2006 to October 2011, in 71 full thickness tears above 4 cm sized which is possible to arthroscopic repair to medial margin of greater tuberosity. The group I is 71 patients which is arthroscopic repair with UU-Tension Band suture, and the group II is 20 cases which is arthroscopic repair with simple suture. Both groups were compared with a VAS score for pain, Activity of Daily Living, UCLA score, KSS score in pre operation, 7 months, 1 year and last follow-up. Statistical analysis was performed by student t test and paired t est. Mean age was 63.2 (52~80) year old, mean follow-up was 38.4 (13~62) months. Results: The VAS scores for pain decreased from 8.1 at preoperative period to 1.6 at postoperative last follow-up period in group I (p<0.05), the score decreased from 7.6 at preoperative period to 1.8 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). Mean ADL scores increased from 12.5 at preoperative period to 29.0 post operative last follow-up period in group I (p<0.05), the score increased from 11.3 in pre op to 27.5 post-operative last follow-up in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). The UCLA score increased from 12.9 at preoperative period to 28.7 postoperative last follow-up period in group I (p<0.05), the score increased from 13.8 at preoperative period to 30.1 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). In comparing of retear which was checked by MRI and ultrasound evaluated at postoperative period 7 months (mean: 27.5 weeks), the retears were 28% in the group I, and 11 shoulders out of 20 shoulders in the group II. The significant differences were noted between two groups (p<0.05). Conclusion: Arthroscopic repair with UU-Tension Band suture and simple suture for full thickness rotator cuff tear above 4 cm sized were not different clinical result between both groups. However, the significant differences were noted in point of failure rate between both groups.

개(犬)에 있어서 크게 손상된 피부의 접합에 관한 두가지의 Tenion Suture (감장봉합)에 관한 술식상의 평가

  • Jacobs Robert Mitchell
    • Journal of the korean veterinary medical association
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    • v.18 no.12
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    • pp.29-34
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    • 1982
  • 두가지 방법의 Tension Suture가 개에서 손상을 입은 피부의 접합에 평가되어졌다. 이들 술식은 Vertical Mattress Tension Suture와 'Walking'봉합이다. 7주후에 타원형으로 손상된 피부의 반흔조직을 추적하여 면적을 측정하였다. 흠손된 피부의 반흔조직의 평균 넓이는 V.M.T.S의 $5.29cm^2$에 비해 'Walking'봉합의 경우는 $2.07cm^2$였다. 이는 'Walking'봉합의 경우가 명백히 반흔조직이 좁다는 것이 관찰되었다. 더구나 어떤 손상의 경우더라도 'Walking'봉합은 열개(봉합한 자국)가 발견되지 아니했다.

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Medial Horizontal Suture Fixation of the Akin Osteotomy: A Technical Report (Akin 절골술의 내측 횡 봉합사 고정: 술기 보고)

  • Yune, Young-Phil;Kim, Sanghwan
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.197-200
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    • 2015
  • The Akin osteotomy is a complimentary procedure in hallux valgus surgery. Surgical techniques may vary depending on the operators or fixation devices. Suture fixation, for which a removal procedure is not necessary, can often be recommended. However, there is a risk of failure due to the thin cortex of the phalanx. We describe a new technique using Ethibond suture fixation in Akin osteotomy, which can lower the risk of phalangeal cortical failure and articular cartilage irritation. First, the Akin osteotomy was performed on the proximal phalanx 5 to 6 mm distal to the first metatarsophalangeal joint. Then bone holes were drilled from dorsum to plantar parallel to osteotomy with the Kirschner wire. The final procedure involved passing the Ethibond sutures connected to a straight needle through the holes and tying it. This fixation method offers an effective and easy technique for performance of Akin osteotomy.

Medial Meniscus Posterior Horn Root Tear in Adolescent during Sport Activity - A Case Report - (스포츠 운동중 청소년에서 발생한 내측 반월상 연골의 뿌리 파열 - 1예 보고-)

  • Cho, Jin-Ho
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.71-75
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    • 2013
  • Root tear of the posterior horn of the medial meniscus can occur from trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. It is common on middle age with or without minor trauma. We experienced a case of medial meniscus posterior horn root tear in 13 years old boy during baseball game. We performed 1 direct suture anchor repair for medial meniscus posterior horn root tear in adolescent and report clinical result.

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