Suture Techniques
Suture Anchors
Craniosynostoses
Polyglactin 910
Frontal Bone
Tissue Adhesives
Polydioxanone
Nylons
Parietal Bone
Polypropylenes
Tensile Strength
Cyanoacrylates
Fibrin Tissue Adhesive
Catgut
Surgical Stapling
Surgical Wound Dehiscence
Anastomosis, Surgical
Surgical Staplers
Polyethylene Terephthalates
Tendon Injuries
Craniofacial Dysostosis
Keratoplasty, Penetrating
Postoperative Complications
Surgical Mesh
Hernia, Ventral
Absorbable Implants
Rotator Cuff
Synostosis
Palatal Expansion Technique
Biomechanical Phenomena
Abdominal Wall
Silk
Astigmatism
Dura Mater
Palate
Cardiocutaneous fistula. (1/573)
Infection of the Teflon pledgets on the heart suture line after left ventricular aneurysm repair, presenting late with a fistulous tract connecting the heart with the skin (cardiocutaneous fistula) is an uncommon but potentially serious condition. The case is reported of a 73 year old man who developed a cardiocutaneous fistula extending through the left hemidiaphragm and draining at the abdominal wall, which developed six years after left ventricular aneurysmectomy. Following radiographic evaluation, which established the diagnosis, the Teflon pledgets and fistulous tract were successfully surgically removed. Prompt diagnosis depends on a high index of suspicion. Eradication of infection requires excision of infected material, which must be planned on an individual basis. (+info)Frame dislocation of body middle rings in endovascular stent tube grafts. (2/573)
OBJECTIVES: To understand the cause, and propose a mechanism for frame dislocation in endovascular grafts. MATERIALS AND METHODS: Five tube grafts were explanted due to secondary distal leakage 15-21 months after operation. One bifurcated graft was removed during emergency operation after aortic rupture caused by secondary leakage. A second bifurcated graft was harvested from a patient with thrombotic occlusion of one limb, who died after transurethral prostatic resection. The inside of the grafts were examined endoscopically. The stent was inspected after removal of the fabric, broken ligatures were counted and examined by scanning electron microscopy. The fabric strength was tested by probe puncture. RESULTS: We found 17-44% of the stent ligatures of the body middle rings to be loose. The knots were intact. Degradation of the polyester textile was not observed. CONCLUSIONS: Continuous movements in the grafted aorta and blood pressure impose permanent stress to the stent frame and the polyester fabric resulting in morphological changes in the body middle ring of grafts. The clinical implications of the suture breakages are unknown although they may be related to distal secondary leakage in tube grafts. (+info)Fibroin allergy. IgE mediated hypersensitivity to silk suture materials. (3/573)
Delayed-type hypersensitivity with granulomatous lesions to silk sutures is rather rare. Yet, braided silk sutures often act as a non-immunologic foreign-body and cause a granulomatous inflammatory reaction years after surgery. We report here a case of recurrent granulomas with remarkable infiltration of eosinophils that may have resulted from an IgE-mediated hypersensitivity reaction to silk fibroin, a component of the braided silk suture. Under normal circumstances exposure to fibroin is rather rare. Therefore, the present patient may have developed this reaction to the silk sutures used in a previous surgery. (+info)Corneal wound healing in tenascin knockout mouse. (4/573)
PURPOSE: Tenascin (TN) is a large hexameric extracellular matrix glycoprotein that is expressed in developing organs and tumors. It has also been reported that TN is expressed in the embryonic cornea and during corneal wound healing. However, the role of TN in the cornea is not fully known. In this study, the role of TN in corneal wound healing was examined using the TN knockout (KO) mouse. METHODS: Two different injuries (a linear perforation wound and two 10-0 nylon suture wounds) were made separately on the corneas of both TNKO and congenic wild-type mice. The corneal wound healing was compared histologically, and the expression of TN and fibronectin (FN) on the injured cornea was examined immunohistochemically and by immunoblot analysis. RESULTS: Based on histologic analysis, there was no significant difference in the wound healing process between wild-type and TNKO mice in the linear incision experiment. However, the corneal stromata of TNKO mice were compressed prominently and devoid of migrating keratocytes in suture injury, which induced a more significant amount of TN than perforation wounds. Although FN expression on the sutured corneas of TNKO mice was upregulated during suture injury, the amount of FN protein was smaller than that of wild-type mice at the same time points after injury. CONCLUSIONS: In suture wounds, TN appears to enhance the amount of FN expression, and a lack of TN may impair stromal cell migration. TN plays a significant role in corneal wound healing, especially for wounds with mechanical stress. (+info)Outcomes of irradiated polyglactin 910 Vicryl Rapide fast-absorbing suture in oral and scalp wounds. (5/573)
BACKGROUND: This study evaluated the outcome of wounds closed with irradiated polyglactin 910 (IRPG) Vicryl Rapide (Ethicon, Somerville, N.J.). METHOD: Seventy-one patients with 80 oral wounds and 42 patients with 42 scalp wounds closed with IRPG were evaluated on the day of surgery, then one, seven, 14, 28 and 90 days following surgery. The incidence of inflammation, suppuration and hypertrophic scarring was recorded, along with the timing of spontaneous suture disappearance. This suture material was compared with polytetrafluoroethylene (PTFE) sutures used in dental implant patients, traditional polyglycolic acid (PGLA) sutures used in osteotomy patients and skin staples used in patients with scalp wounds. RESULTS: In the group with intraoral wounds, there were two cases of suppuration with no inflammatory reactions or hypertrophic scarring when IRPG sutures were used, compared to three cases of suppuration with the traditional PGLA sutures. In the group with scalp wounds, there was no suppuration or hypertrophic scarring with IRPG sutures and one inflammatory reaction with skin staples. IRPG sutures never required removal, while all staples, PGLA and PTFE sutures eventually required separate removal. CONCLUSION: Irradiated polyglactin 910 Vicryl Rapide is a useful suture material with both intra- and extraoral applications in the pediatric and adult populations. (+info)Video-assisted replacement or bypass grafting of the descending thoracic aorta with a new sutureless vascular prosthesis: an experimental study. (6/573)
PURPOSE: The feasibility of the video-assisted insertion of a new sutureless vascular prosthesis was studied. METHODS: Seven sheep, weighing 25 to 35 kg, were operated on under general anesthesia. The animals were intubated with a single-lumen endotracheal tube and placed in the right lateral decubitus position. A thoracoscope was introduced in the 11th intercostal space, and a minithoracotomy (4 to 5 cm) was performed in the seventh intercostal space. After retraction of the lung, a short segment (10 cm) of the descending thoracic aorta was exposed. Our prosthesis was made of Dacron and was specifically designed to be inserted without a suture. After systemic heparinization, the aorta was cross-clamped with two vascular clamps introduced into the thoracic cavity through two 5-mm thoracic incisions. The aorta was either replaced (five cases) or bypass grafted (two cases). At the completion of the procedure, blood pressure was pharmacologically increased (5 mg intravenous bolus of epinephrine), and each anastomosis was checked for bleeding. All animals were killed, and the prosthesis was retrieved for macroscopic examination. RESULTS: The procedure was completed in each case without extension of the minithoracotomy. Insertion of the prosthesis was easy and fast, and completion of each anastomosis required 10 to 15 minutes. A 3- to 4-mm space between each clip was sufficient for proper attachment. All procedures were performed in less than 120 minutes. No bleeding was observed at the level of each anastomosis, even when a sustained high blood pressure was induced. The proper insertion of the prosthesis and the absence of any anastomotic stenosis was confirmed by means of macroscopic examination. CONCLUSION: Video-thoracoscopic replacement or bypass grafting of the descending thoracic aorta was easy with this new sutureless vascular prosthesis. Minimally invasive vascular surgery might be facilitated with such a prosthesis. However, long-term animal studies are required before human implantation can be undertaken. (+info)Anastomotic tissue response associated with expanded polytetrafluoroethylene access grafts constructed by using nonpenetrating clips. (7/573)
PURPOSE: The gross, light microscopic, and scanning microscopic appearance of arterial and venous anastomoses in expanded polytetrafluoroethylene (ePTFE) access grafts constructed with nonpenetrating clips were compared with that of those constructed with polypropylene suture. We hypothesized that clip-constructed anastomoses would provide controlled approximation of native vessel intimal and medial components with the ePTFE grafts. We further hypothesized that anastomotic healing with clips would involve primarily an intimal cellular response, as compared with suture-constructed anastomoses in which cells within the media and adventitia walls participate. METHODS: Femoral artery to femoral vein arteriovenous (AV) grafts were constructed in five dogs using 4-mm internal diameter ePTFE graft material. Each animal received one AV graft with anastomoses constructed by using polypropylene sutures in one leg and one AV graft with anastomoses constructed with Vascular Closure System clips in the contralateral leg. Animals were given aspirin for the duration of the study, and grafts were explanted at 5 weeks. At the time of explantation, graft segments were grossly evaluated and then underwent light and scanning electron microscopic analysis. RESULTS: At the time of explantation, all access grafts were patent. Joining the ePTFE grafts to the native vessels with clips resulted in minimal vessel wall damage. The lumenal contours of the discontinuous approximation were smooth and without gross endothelial disruption. These observations are in contrast to the lumenal compromise and endothelial disturbance associated with the sutured anastomoses. Furthermore, hemostasis was achieved immediately in the clipped grafts, decreasing the incidence of perianastomic hematoma. Finally, cellular reconstitution occurred at the anastomotic cleft in both the sutured and the clipped junctions. The neointima exhibited an endothelial cell lining on the lumenal surface and the presence of alpha-smooth muscle cell actin positive cells within the subendothelial layer. CONCLUSION: Vascular Closure System clips are a viable alternative to suture for the approximation of ePTFE AV access grafts to native blood vessels. The use of the clips resulted in a more streamlined anastomosis, with decreased vessel wall damage, immediate hemostasis, and a trend toward shorter procedure times. (+info)Tissue plasminogen activator (tPA) deficiency exacerbates cerebrovascular fibrin deposition and brain injury in a murine stroke model: studies in tPA-deficient mice and wild-type mice on a matched genetic background. (8/573)
Although the serine protease, tissue plasminogen activator (tPA), is approved by the US Food and Drug Administration for therapy to combat focal cerebral infarction, the basic concept of thrombolytic tPA therapy for stroke was challenged by recent studies that used genetically manipulated tPA-deficient (tPA-/-) mice, which suggested that tPA mediates ischemic neuronal damage. However, those studies were potentially flawed because the genotypes of tPA-/- and wild-type control mice were not entirely clear, and ischemic neuronal injury was evaluated in isolation of tPA effects on brain thrombosis. Using mice with appropriate genetic backgrounds and a middle cerebral artery occlusion stroke model with nonsiliconized thread, which does lead to microvascular thrombus formation, in the present study we determined the risk for cerebrovascular thrombosis and neuronal injury in tPA-/- and genetically matched tPA+/+ mice subjected to transient focal ischemia. Cerebrovascular fibrin deposition and the infarction volume were increased by 8.2- and 6. 7-fold in tPA-/- versus tPA+/+ mice, respectively, and these variables were correlated with reduced cerebral blood flow up to 58% (P<0.05) and impaired motor neurological score by 70% (P<0.05). Our findings indicate that tPA deficiency exacerbates ischemia-induced cerebrovascular thrombosis and that endogenous tPA protects the brain from an ischemic insult, presumably through its thrombolytic action. In addition, our study emphasizes the importance of appropriate genetic controls in murine stroke research. (+info)The disorder is characterized by a range of symptoms, including:
1. Enlarged head size and abnormal shape of the skull, which can lead to increased intracranial pressure and potentially life-threatening complications.
2. Premature fusion of certain skull sutures, resulting in a rigid and inflexible skull.
3. Abnormal development of the brain, including underdeveloped cerebral hemispheres, enlarged cerebellum, and abnormalities in the structure of the brain's corpus callosum.
4. Webbed fingers and/or toes (syndactyly), which can range from mild to severe.
5. Limb malformations, such as clubfoot or missing digits.
6. Intellectual disability, developmental delays, and/or seizures.
The exact prevalence of acrocephalosyndactylia is not known, but it is estimated to affect approximately 1 in 100,000 to 1 in 200,000 births. The disorder is usually inherited as an autosomal dominant trait, meaning that a single copy of the mutated gene is enough to cause the condition. However, some cases may be caused by spontaneous genetic mutations.
There is no cure for acrocephalosyndactylia, but various treatments can help manage the associated symptoms and complications. These may include surgery to relieve intracranial pressure, physical therapy to improve limb function, and medical management of seizures and other neurological issues. With appropriate support and care, individuals with acrocephalosyndactylia can lead fulfilling lives, although they may face unique challenges and limitations.
Surgical wound dehiscence is a condition where the incision or wound made during a surgical procedure fails to heal properly and starts to separate, leading to an open wound. This complication can occur due to various factors, such as poor wound care, infection, or excessive tension on the wound edges.
Types of Surgical Wound Dehiscence
There are several types of surgical wound dehiscence, including:
1. Superficial dehiscence: This type of dehiscence occurs when the skin over the incision starts to separate but does not extend into the deeper tissue layers.
2. Deep dehiscence: This type of dehiscence occurs when the incision starts to separate into the deeper tissue layers, such as muscles or organs.
3. Full-thickness dehiscence: This type of dehiscence occurs when the entire thickness of the skin and underlying tissues separates along the incision line.
Causes of Surgical Wound Dehiscence
Surgical wound dehiscence can occur due to a variety of factors, including:
1. Poor wound care: Failure to properly clean and dress the wound can lead to infection and delay healing.
2. Infection: Bacterial or fungal infections can cause the wound edges to separate.
3. Excessive tension on the wound edges: This can occur due to improper closure techniques or excessive tightening of sutures or staples.
4. Poor surgical technique: Improper surgical techniques can lead to inadequate tissue approximation and delayed healing.
5. Patient factors: Certain medical conditions, such as diabetes or poor circulation, can impair the body's ability to heal wounds.
Symptoms of Surgical Wound Dehiscence
The symptoms of surgical wound dehiscence may include:
1. Redness and swelling around the incision site
2. Increased pain or discomfort at the incision site
3. Discharge or fluid leaking from the incision site
4. Bad smell or foul odor from the incision site
5. Increased heart rate or fever
6. Reduced mobility or stiffness in the affected area
Treatment of Surgical Wound Dehiscence
The treatment of surgical wound dehiscence depends on the severity and underlying cause of the condition. Treatment options may include:
1. Antibiotics: To treat any underlying infections.
2. Dressing changes: To promote healing and prevent infection.
3. Debridement: Removal of dead tissue or debris from the wound site to promote healing.
4. Surgical revision: In some cases, the wound may need to be reclosed or revisited to correct any defects in the initial closure.
5. Hyperbaric oxygen therapy: To promote wound healing and reduce the risk of infection.
6. Surgical mesh: To reinforce the wound edges and prevent further separation.
7. Skin grafting: To cover the exposed tissue and promote healing.
Prevention of Surgical Wound Dehiscence
Preventing surgical wound dehiscence is crucial to ensure a successful outcome. Here are some measures that can be taken to prevent this condition:
1. Proper wound closure: The incision should be closed carefully and securely to prevent any gaping or separation.
2. Appropriate dressing: The wound should be covered with an appropriate dressing to promote healing and prevent infection.
3. Good surgical technique: The surgeon should use proper surgical techniques to minimize tissue trauma and promote healing.
4. Proper postoperative care: Patients should receive proper postoperative care, including monitoring of vital signs and wound status.
5. Early recognition and treatment: Any signs of dehiscence should be recognized early and treated promptly to prevent further complications.
Conclusion
Surgical wound dehiscence is a serious complication that can occur after surgery, resulting in unstable or gaping wounds. Prompt recognition and treatment are essential to prevent further complications and promote healing. Proper wound closure, appropriate dressing, good surgical technique, proper postoperative care, and early recognition and treatment can help prevent surgical wound dehiscence. By taking these measures, patients can achieve a successful outcome and avoid potential complications.
Surgical wound infections can be caused by a variety of factors, including:
1. Poor surgical technique: If the surgeon does not follow proper surgical techniques, such as properly cleaning and closing the incision, the risk of infection increases.
2. Contamination of the wound site: If the wound site is contaminated with bacteria or other microorganisms during the surgery, this can lead to an infection.
3. Use of contaminated instruments: If the instruments used during the surgery are contaminated with bacteria or other microorganisms, this can also lead to an infection.
4. Poor post-operative care: If the patient does not receive proper post-operative care, such as timely changing of dressings and adequate pain management, the risk of infection increases.
There are several types of surgical wound infections, including:
1. Superficial wound infections: These infections occur only in the skin and subcutaneous tissues and can be treated with antibiotics.
2. Deep wound infections: These infections occur in the deeper tissues, such as muscle or bone, and can be more difficult to treat.
3. Wound hernias: These occur when the intestine bulges through the incision site, creating a hernia.
4. Abscesses: These occur when pus collects in the wound site, creating a pocket of infection.
Surgical wound infections can be diagnosed using a variety of tests, including:
1. Cultures: These are used to identify the type of bacteria or other microorganisms causing the infection.
2. Imaging studies: These can help to determine the extent of the infection and whether it has spread to other areas of the body.
3. Physical examination: The surgeon will typically perform a physical examination of the wound site to look for signs of infection, such as redness, swelling, or drainage.
Treatment of surgical wound infections typically involves a combination of antibiotics and wound care. In some cases, additional surgery may be necessary to remove infected tissue or repair damaged structures.
Prevention is key when it comes to surgical wound infections. To reduce the risk of infection, surgeons and healthcare providers can take several steps, including:
1. Proper sterilization and disinfection of equipment and the surgical site.
2. Use of antibiotic prophylaxis, which is the use of antibiotics to prevent infections in high-risk patients.
3. Closure of the incision site with sutures or staples to reduce the risk of bacterial entry.
4. Monitoring for signs of infection and prompt treatment if an infection develops.
5. Proper wound care, including keeping the wound clean and dry, and changing dressings as needed.
6. Avoiding unnecessary delays in surgical procedure, which can increase the risk of infection.
7. Proper patient education on wound care and signs of infection.
8. Use of biological dressings such as antimicrobial impregnated dressings, which can help reduce the risk of infection.
9. Use of negative pressure wound therapy (NPWT) which can help to promote wound healing and reduce the risk of infection.
10. Proper handling and disposal of sharps and other medical waste to reduce the risk of infection.
It is important for patients to follow their healthcare provider's instructions for wound care and to seek medical attention if they notice any signs of infection, such as redness, swelling, or increased pain. By taking these precautions, the risk of surgical wound infections can be significantly reduced, leading to better outcomes for patients.
There are several types of tendon injuries, including:
1. Tendinitis: Inflammation of a tendon, often caused by repetitive strain or overuse.
2. Tendon rupture: A complete tear of a tendon, which can be caused by trauma or degenerative conditions such as rotator cuff tears in the shoulder.
3. Tendon strain: A stretch or tear of a tendon, often caused by acute injury or overuse.
4. Tendon avulsion: A condition where a tendon is pulled away from its attachment point on a bone.
Symptoms of tendon injuries can include pain, swelling, redness, and limited mobility in the affected area. Treatment options depend on the severity of the injury and may include rest, physical therapy, medication, or surgery. Preventive measures such as proper warm-up and cool-down exercises, stretching, and using appropriate equipment can help reduce the risk of tendon injuries.
There are several different types of craniofacial dysostosis, each with its own unique set of symptoms and characteristics. Some of the most common include:
1. Crouzon syndrome: This is a rare genetic disorder that affects the development of the skull and facial bones. It is characterized by a distinctive head shape, cleft palate, and other facial abnormalities.
2. Apert syndrome: This is another rare genetic disorder that affects the development of the skull and facial bones. It is characterized by a wide range of symptoms, including cleft palate, misshapen head shape, and other malformations.
3. Frontonasal dysplasia: This is a rare condition that affects the development of the nasal passages and sinuses. It can result in a variety of physical abnormalities, including a misshapen nose, cleft palate, and other malformations.
4. Craniosynostosis: This is a condition in which the bones of the skull fuse together too early in development, leading to an abnormal head shape. It can be caused by a variety of genetic mutations or other factors.
Craniofacial dysostosis can be diagnosed through a combination of physical examination, medical imaging (such as X-rays or CT scans), and genetic testing. Treatment for these disorders depends on the specific type and severity of the condition, but may include surgery, orthodontic treatment, and other therapies to help correct physical abnormalities and improve function and appearance.
In addition to the physical challenges posed by craniofacial dysostosis, individuals with these conditions may also experience emotional and social difficulties due to their appearance or limitations in function. As such, it is important for healthcare providers to provide comprehensive care that addresses both the physical and psychosocial aspects of these disorders.
Overall, craniofacial dysostosis is a diverse group of conditions that can have a significant impact on an individual's quality of life. Early diagnosis and appropriate treatment can help improve outcomes for individuals with these conditions, and ongoing research is working to advance our understanding of the causes and management of craniofacial dysostosis.
1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.
It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.
Ventral hernia is a type of hernia that occurs through a weakness in the abdominal wall, usually in the vicinity of the navel or groin. It can be caused by a variety of factors, including previous surgery, infection, or underlying weaknesses in the abdominal muscles.
The symptoms of ventral hernia may include a bulge or lump in the affected area, pain or discomfort, and difficulty with movement or exercise. If left untreated, ventral hernias can become larger and more difficult to repair, and may also lead to complications such as bowel obstruction or incarceration.
Treatment for ventral hernia usually involves surgical repair of the defect in the abdominal wall. The choice of surgical approach depends on the size and location of the hernia, as well as the patient's overall health and medical history. Open repair techniques involve a single incision in the abdomen to access the hernia sac and repair it with sutures or mesh material. Laparoscopic repair techniques involve several small incisions and the use of a camera and specialized instruments to repair the hernia through a minimally invasive approach.
In conclusion, ventral hernias are a common condition that can be repaired with a variety of surgical techniques. The choice of technique depends on the specific needs of the patient and the experience and expertise of the surgeon. Proper diagnosis and treatment are essential to prevent complications and ensure optimal outcomes for patients with ventral hernias.
Prevention of ventral hernia: the role of physical therapy. This article discusses the importance of physical therapy in preventing ventral hernias, particularly in high-risk populations such as those with previous abdominal surgery or chronic medical conditions. The authors review the scientific evidence supporting the use of physical therapy to improve abdominal strength and stability, reduce pressure on the abdominal wall, and promote healing after surgery.
The article highlights the benefits of preoperative physical therapy in preparing patients for surgery and reducing postoperative complications such as hernia recurrence or infection. Additionally, physical therapy can help patients recover more quickly and effectively after surgery, which may reduce hospital stays and improve overall outcomes.
The article also discusses the importance of individualized physical therapy programs tailored to each patient's specific needs and goals, as well as the role of technology such as biofeedback and electrical stimulation in enhancing physical therapy effectiveness.
In conclusion, physical therapy plays a critical role in preventing ventral hernias and promoting optimal outcomes for patients undergoing abdominal surgery. By improving abdominal strength and stability, reducing pressure on the abdominal wall, and promoting healing after surgery, physical therapy can help reduce the risk of complications and improve overall quality of life for high-risk patients.
The importance of ventral hernia repair in the elderly population: a review of the literature. This article examines the unique challenges and considerations associated with repairing ventral hernias in elderly patients. While hernia repair is generally considered safe and effective, elderly patients may be at higher risk for complications due to age-related changes such as decreased skin elasticity and muscle mass, comorbidities such as heart disease and diabetes, and potentially reduced physiological reserve.
The article highlights the importance of careful preoperative evaluation and planning, including a thorough medical history and physical examination, laboratory tests, and imaging studies to assess the severity of the hernia and potential for complications. Additionally, the use of advanced surgical techniques such as laparoscopic repair or robotic-assisted repair may be more challenging in elderly patients due to decreased visualization and dexterity, but can still provide excellent outcomes with careful planning and execution.
The article also discusses the importance of postoperative care in the elderly population, including close monitoring for signs of complications such as wound infections or respiratory failure, aggressive pain management to reduce the risk of respiratory depression, and early mobilization to promote healing and prevent delirium.
In conclusion, while repairing ventral hernias in elderly patients can be challenging, careful preoperative evaluation and planning, advanced surgical techniques, and meticulous postoperative care can provide excellent outcomes for this high-risk population.
1. Skull deformities: Synostosis can lead to abnormal growth and shape of the skull, which can cause visual disturbances, hearing loss, and other complications.
2. Respiratory problems: Fused bones in the skull can reduce the size of the nasal passages and sinuses, making it harder to breathe properly.
3. Neurological issues: Synostosis can press on the brain and spinal cord, leading to headaches, seizures, and other neurological symptoms.
4. Vision problems: The fusion of bones can cause double vision or other visual disturbances, which can affect a child's ability to learn and develop normally.
5. Hearing loss: In some cases, synostosis can lead to hearing loss due to the abnormal growth of the bones in the middle ear.
6. Sleep apnea: Synostosis can cause the airway to be narrowed or blocked, leading to sleep apnea and other breathing problems.
7. Dental problems: Fused bones in the skull can affect the alignment of teeth and lead to dental problems such as crowding, misalignment, or tooth loss.
8. Speech difficulties: Synostosis can cause speech difficulties due to the abnormal growth of the bones in the mouth and throat.
9. Feeding difficulties: Fused bones in the skull can make it harder for a child to eat properly, leading to feeding difficulties and malnutrition.
10. Emotional and social challenges: Children with synostosis may experience emotional and social challenges due to their appearance or difficulty with basic functions such as eating and breathing.
Treatment for synostosis usually involves a combination of surgery, physical therapy, and other supportive care to help manage the symptoms and improve quality of life.
Astigmatism can occur in people of all ages and is usually present at birth, but it may not become noticeable until later in life. It may also develop as a result of an injury or surgery. Astigmatism can be corrected with glasses, contact lenses, or refractive surgery, such as LASIK.
There are different types of astigmatism, including:
1. Corneal astigmatism: This is the most common type of astigmatism and occurs when the cornea is irregularly shaped.
2. Lens astigmatism: This type of astigmatism occurs when the lens inside the eye is irregularly shaped.
3. Mixed astigmatism: This type of astigmatism occurs when both the cornea and lens are irregularly shaped.
Astigmatism can cause a range of symptoms, including:
* Blurred vision at all distances
* Distorted vision (such as seeing objects as being stretched out or blurry)
* Eye strain or fatigue
* Headaches or eye discomfort
* Squinting or tilting the head to see clearly
If you suspect you have astigmatism, it's important to see an eye doctor for a comprehensive eye exam. Astigmatism can be diagnosed with a visual acuity test and a retinoscopy, which measures the way the light enters the eye.
Astigmatism is a common vision condition that can be easily corrected with glasses, contact lenses, or refractive surgery. If you have astigmatism, it's important to seek professional treatment to improve your vision and reduce any discomfort or strain on the eyes.
In medicine, cadavers are used for a variety of purposes, such as:
1. Anatomy education: Medical students and residents learn about the human body by studying and dissecting cadavers. This helps them develop a deeper understanding of human anatomy and improves their surgical skills.
2. Research: Cadavers are used in scientific research to study the effects of diseases, injuries, and treatments on the human body. This helps scientists develop new medical techniques and therapies.
3. Forensic analysis: Cadavers can be used to aid in the investigation of crimes and accidents. By examining the body and its injuries, forensic experts can determine cause of death, identify suspects, and reconstruct events.
4. Organ donation: After death, cadavers can be used to harvest organs and tissues for transplantation into living patients. This can improve the quality of life for those with organ failure or other medical conditions.
5. Medical training simulations: Cadavers can be used to simulate real-life medical scenarios, allowing healthcare professionals to practice their skills in a controlled environment.
In summary, the term "cadaver" refers to the body of a deceased person and is used in the medical field for various purposes, including anatomy education, research, forensic analysis, organ donation, and medical training simulations.
Symptoms of lacerations can include pain, bleeding, swelling, and redness around the affected area. In some cases, lacerations may also be accompanied by other injuries, such as fractures or internal bleeding.
Diagnosis of lacerations is typically made through a physical examination of the wound and surrounding tissue. Imaging tests, such as X-rays or CT scans, may be ordered to assess the extent of the injury and identify any underlying complications.
Treatment for lacerations depends on the severity of the wound and can range from simple cleaning and bandaging to more complex procedures such as suturing or stapling. In some cases, antibiotics may be prescribed to prevent infection. It is important to seek medical attention if symptoms persist or worsen over time, as untreated lacerations can lead to infection, scarring, and other complications.
In the medical field, lacerations are often classified based on their location and severity. Common types of lacerations include:
* Linear lacerations: These are straight cuts that occur along a single line.
* Blunt trauma lacerations: These are caused by blunt force, such as from a fall or collision.
* Avulsion lacerations: These occur when skin is torn away from underlying tissue, often due to a sharp object.
* Torn lacerations: These are caused by a sudden and forceful stretching of the skin, such as from a sports injury.
Overall, the medical field recognizes lacerations as a common type of injury that can have significant consequences if not properly treated. Prompt and appropriate treatment can help to minimize the risk of complications and ensure proper healing.
Stay sutures
Suture
Sphenofrontal suture
Zygomaticofrontal suture
Petrosquamous suture
Sphenozygomatic suture
Serdev suture
Suture (album)
Iapetus Suture
Lambdoid suture
Sphenoethmoidal suture
Sagittal suture
Zygomaticotemporal suture
Suture Bench
Suture (film)
Suture (band)
Barbed suture
Frontoethmoidal suture
Surgical suture
Coronal suture
Suture (anatomy)
Suture (geology)
Sphenoparietal suture
Frontal suture
Sphenosquamosal suture
Occipitomastoid suture
Squamosal suture
Catgut suture
Bangong suture
Fab Four Suture
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Your Next Suture Could Be Made of Shrilk, a Superstrong Synthetic Insectoid Material
Use of Blunt-Tip Suture Needles to Decrease Percutaneous Injuries to Surgical Personnel | NIOSH | CDC
Surgical Sutures Market Size & Share Report, 2022-2030
Sklar Regular Surgeons Suture Needle
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Pediatric Skull Fractures Contacting Sutures: Relevance in Abusive Head Trauma
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Inferring the viscous and elastic properties of a suture zone in Larsen C | EPIC
Sutured for a Living: Memory Quilt II
Needles23
- and 3) to emphasize OSHA's requirement and NIOSH's recommendation to use safer medical devices-in this case, blunt-tip suture needles-where clinically appropriate. (cdc.gov)
- Evaluation of Blunt Suture Needles in Preventing Percutaneous Inj. (cdc.gov)
- Most suturing is done using curved suture needles, although straight needles are used by some surgeons for suturing skin. (cdc.gov)
- Blunt suture needles (curved suture needles that have a relatively blunt tip) may be less likely to cause PIs because they do not easily penetrate skin. (cdc.gov)
- Based on small studies and anecdotal experience, blunt suture needles appear able to replace conventional curved suture needles for suturing many tissues, although they may require more pressure to penetrate the tissues (3-6). (cdc.gov)
- Blunt suture needles (Ethiguard{trademark}, Ethicon, Inc., Somerville, New Jersey) ** were evaluated as a potential replacement for conventional curved needles in gynecologic surgery, a specialty in which high PI rates have been reported (2). (cdc.gov)
- From March 1993 through June 1994, trained nurse observers at the three hospitals systematically recorded information about the nature and frequency of all PIs and the number and type of suture needles used during gynecologic surgical procedures (laparoscopy and dilation and curettage procedures were excluded from the study). (cdc.gov)
- of these, 61 (70%) involved suture needles, and 26 (30%) involved other surgical devices. (cdc.gov)
- Of the 61 injuries involving suture needles, 56 (92%) were associated with conventional curved needles, none with blunt needles, and five (8%) with straight needles. (cdc.gov)
- The mean number of curved suture needles used per procedure (24 needles) was constant throughout the study period. (cdc.gov)
- The increase in use of blunt suture needles was temporally associated with a decrease in PIs from curved suture needles, from 5.9 PIs per 100 procedures (49 PIs among 835 procedures) in 1993 to 1.1 PIs per 100 procedures (seven PIs among 629 procedures) in 1994 (p less than 0.01) ( Figure 1 ). (cdc.gov)
- Rates of PIs with devices other than curved suture needles remained constant (2.1 PIs per 100 procedures). (cdc.gov)
- For straight suture needles, the PI rate was 14.2 PIs per 1000 needles used (five PIs among 351 needles used). (cdc.gov)
- Sutures are used to stich a wound on the skin using needles that come in different shapes and sizes. (medgadget.com)
- Do you have sutures with needles for both skin and Is there a clinical officer or doctor with sufficient soft tissue available today? (who.int)
- In October 2007, the National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA) together released a Safety and Health Information Bulletin titled Use of Blunt-Tip Suture Needles to Decrease Percutaneous Injuries to Surgical Personnel . (cdc.gov)
- The Bulletin emphasizes that sharp-tip suture needles are the leading source of percutaneous injuries to surgical personnel, causing 51%-77% of these incidents. (cdc.gov)
- Blunt-tip suture needles are an effective alternative for suturing less-dense tissue such as muscle and fascia. (cdc.gov)
- Studies have shown that the use of blunt-tip suture needles results in substantial reduction or elimination of injuries to surgical personnel with minimal adverse effects on patient care and a general acceptance by participating surgeons. (cdc.gov)
- Conventional sharp-tip suture needles may be needed to suture skin, bowel, and blood vessels although suture-less techniques for these procedures are also available. (cdc.gov)
- In 2005, the American College of Surgeons (ACS) issued a statement supporting universal adoption of blunt-tip suture needles for suturing fascia and encouraging further investigation of their appropriate use in other surgical applications. (cdc.gov)
- Given that clinical use and scientific studies have established the effectiveness of blunt-tip suture needles in decreasing percutaneous injuries, employers in workplaces that use suture needles have the responsibility under the Bloodborne Pathogens standard to evaluate the use of blunt-tip suture needles as well as other appropriate safer medical devices. (cdc.gov)
- As with any new device, the introduction of blunt-tip suture needles must include training of staff in proper use and follow-up to ensure a successful transition from conventional to safer devices. (cdc.gov)
Absorbable Suture3
- 4 Silk Braided Sterile Black Non-Absorbable Suture 5/0 with needle. (troutunderground.com)
- more Green Non-Absorbable Suture 5/0 with needle. (troutunderground.com)
- Type: Non Absorbable Suture. (troutunderground.com)
Wound13
- Used for surgical wound Suture. (troutunderground.com)
- Sutures are an essential component of wound closure and healing and are used in various procedures, from open surgery to minimally invasive surgery. (financialexpress.com)
- Other wound closure devices, including staples and sealants, are typically associated with a lower risk of infection than sutures, but new manufacturing methods are producing sutures that protect against infection. (financialexpress.com)
- The researchers from Harvard's Wyss Institute for Biologically Inspired Engineering also envision Shrilk becoming a strong biocompatible material used in medical practice for everything from load bearing wound sutures to scaffolds for regenerative tissue therapies. (popsci.com)
- During suturing, the wound is cleaned and then pulled together with sutures, also known as stitches, to decrease healing time and allow the skin to heal with less scarring. (skinsight.com)
- Sutures, also known as stitches, are synthetic or animal gut-derived threads used to close a wound after a surgical procedure or injury. (skinsight.com)
- Stitches placed deep inside the wound always require the use of dissolvable (absorbable) sutures, whereas stitches visible on the skin (placed superficially) may use dissolvable or non-dissolving (non-absorbable) sutures. (skinsight.com)
- Additionally, sutures allow the skin to heal with less scarring - in some cases - by approximating the wound edges. (skinsight.com)
- Apart from this, leading market players are introducing surgical sutures that promote scar-free wound healing and minimize ischemia, excess wound tension, and tissue injury. (researchandmarkets.com)
- Ra Medical Systems Inc. launched a simple device that holds sutures more securely in place for closure of percutaneous wound sites during cardiac electrophysiology, structural heart and vascular surgical procedures. (bioworld.com)
- We'll also offer some tips for wound care and information on wound care after sutures are removed. (hchconline.org)
- After sutures are removed, taking the necessary steps to care for the wound and promote optimal healing is crucial. (hchconline.org)
- When compared to traditional nylon suture, the cyanocrilate ester dispend less operative time, patient compliance and less bacterial placa adherence in chirurgic wound. (bvsalud.org)
Silk Braided7
- ITEM: 3/0 Surgical Sutures Silk Braided Black Sterile Non-Absorbable sterile. (troutunderground.com)
- Silk Braided Surgical Suture. (troutunderground.com)
- 1x Silk Braided Surgical Suture 3-0. (troutunderground.com)
- Also in this study physical property of silk braided suture materials is determined. (omicsonline.org)
- Analysis of silk braid suture material is carried out after determining the fiber and yarn properties of silk braided suture materials using data generated by fiber testing instruments like vibroskop 400 and INSTRON 6021. (omicsonline.org)
- The materials used in this study include standard silk braided sutures confirming to USP norms. (omicsonline.org)
- Correlation analysis was carried out on fiber, yarn and knot pull strength properties of silk braided suture materials. (omicsonline.org)
Muscle and fascia1
- Up to 59% of suture needle injuries occur during suturing of muscle and fascia. (cdc.gov)
Tissue7
- For example, synthetic suture materials are designed to provide better tissue holding capacity, leading to fewer risks of infection and reduced scar tissue formation. (financialexpress.com)
- Drug-eluting and bioactive sutures can also release compounds into nearby tissue to reduce inflammation, control bacterial growth, and promote healing while still fulfilling their mechanical requirements," Clarke added. (financialexpress.com)
- At present, several manufacturers are introducing synthetic monofilament polydioxanone sutures (PDS) that find extensive application in the repairing of soft-tissue wounds and abdominal closures during pediatric cardiac procedures. (researchandmarkets.com)
- The material used for sutures depends upon several factors such as infection risks, type of tissue and personal preferences. (medgadget.com)
- Disadvantage of sutures can be irritation resulting from cut ends of suture material, bacterial infection risk, fraying during construction of knot, dehiscence risk and tissue drag. (medgadget.com)
- Our results confirm the advantage of tissue adhesives as suture in wounds with no tissue tensor or bloodiness. (bvsalud.org)
- hospitals had a working autoclave, and many had a back up and soft tissue sutures available. (who.int)
Polydioxanone3
- When submitting comments with respect to absorbable polydioxanone surgical suture (21 CFR 878.4840), please refer to the exact title of this guidance document. (fda.gov)
- When submitting comments with respect to sutures other than the absorbable polydioxanone surgical suture, please refer to Docket No. 02D-0289. (fda.gov)
- This guidance document was developed as a special control guidance to support the reclassification of the absorbable polydioxanone surgical (PDS) suture into class II. (fda.gov)
Wounds1
- These unique sutures are sized and priced for closing punch biopsies and wounds only req. (delasco.com)
Vicryl1
- 20 patients were underwent pterygium excision surgery and conjunctival autografting using absorbable vicryl 8-0 suture and 20 patients underwent pterygium excision surgery and conjunctival autografting using ?brin glue. (who.int)
Coronal1
- Premature closing of the suture that runs from side-to-side on the skull (coronal suture) leads to a short, wide head. (medlineplus.gov)
Blood vessels1
- Surgical sutures are medical strands or threads used to ligate blood vessels and sew damaged tissues together after an injury. (researchandmarkets.com)
Invasive2
- A less invasive everting sutures technique was applied for the correction of involutional entropion of eyelid . (bvsalud.org)
- Everting sutures was minimal invasive, non-incision, cost effective procedure for the correction of involutional entropion . (bvsalud.org)
Practice3
- ITEM: Mixed Sterile Sutures 16 Pieces Suturing Practice Kit. (troutunderground.com)
- more alternative to practice surgical sutures commonly used in schools and different educational settings. (troutunderground.com)
- For example, we can now carry out the resuscitation of babies, practice sutures on mothers when the need arises, etc. (who.int)
Procedure3
- As there are no additional patient management recommendations for patients where potentially affected non-absorbable sutures were used during a procedure, healthcare professionals are advised to monitor them in accordance with the medical facility's standard care protocols with consideration to the specific use. (hsa.gov.sg)
- This study was carried out to assess the outcome of the everting sutures for the correction of lower eyelid involutional entropion and to describe the cost effective of the procedure . (bvsalud.org)
- The new procedure is bloodless and requires no anesthesia, or suturing. (cdc.gov)
Cardiovascular1
- Depending on the basis of sutures' use they can also be classified into ophthalmic sutures, cardiovascular sutures, orthopedic sutures and genera sutures. (medgadget.com)
Sterile1
- A Dear Healthcare Professional Letter has been issued by Medtronic International Ltd to inform healthcare professionals of a recall of specific lots of the Medtronic non-absorbable sutures due to potential sterile barrier breach as manufacturing errors in the packaging may cause a gap or wrinkle in the breather pouch seal. (hsa.gov.sg)
Pediatric2
Surgeons1
- Click here to return to Sklar Regular Surgeons Suture Needle - 3/8 Circle . (medicaldevicedepot.com)
Closure2
- Ridged sutures refer to an overlap of the bony plates of the skull in an infant, with or without early closure. (medlineplus.gov)
- Home care depends on the condition causing the premature closure of sutures. (medlineplus.gov)
Skull4
- Premature closing of the suture running the length of the skull (sagittal suture) produces a long, narrow head. (medlineplus.gov)
- If there is ridging, your child might need x-rays or other types of scans of the skull to show whether the sutures have closed too early. (medlineplus.gov)
- Statistical odds ratios were evaluated to assess the significance of skull fracture extension to sutures in abusive versus accidental injury. (nih.gov)
- A two-proportion Z -test was used to determine the statistical significance of suture type contacted by skull fractures in accidental versus abusive injury. (nih.gov)
Type1
- Thus, a manufacturer who intends to market a device of this generic type should (1) conform to the general controls of the Federal Food, Drug & Cosmetic Act (the Act), including the 510(k) requirements described in 21 CFR 807 Subpart E, (2) address the specific risks to health associated with surgical suture devices identified in this guidance, and (3) obtain a substantial equivalence determination from FDA prior to marketing the device. (fda.gov)
Efficiency2
- There is also potential for automated suturing devices to help increase the precision and efficiency of suture applications, albeit at a higher cost. (financialexpress.com)
- Market players are focusing on R&D activities to improve efficiency of sutures, which is anticipated to propel growth of the global sutures market during the forecast period. (medgadget.com)
Occur1
- Ridging of the suture line can also occur when the bony plates fuse together too early. (medlineplus.gov)
Adoption1
- In addition, the increasing number of fatal road accidents is fueling the adoption of surgical sutures. (researchandmarkets.com)
Forecast2
- GlobalData , a data and analytics company, on Monday said that the global surgical sutures market is forecast to reach $4.5 billion in 2033, up from $3 billion in 2022. (financialexpress.com)
- Factors such as high cost and disadvantages linked to sutures is likely to hamper growth of the global sutures market during the forecast period. (medgadget.com)
Clinical1
- This article describes two clinical reports of patients submitted to osteointegrated implants and bone exert with cyanocrilate ester (Super Bonder ® ) as suture. (bvsalud.org)
Versus2
- The objective of this study was to compare duration of surgery, immediate postoperative complications which includes an in?ammation, subconjunctival haemorrhage, patient comfort, graft stability between the uses of ?brin glue versus sutures. (who.int)
- There was no signi?cant difference found in the degree of subconjunctival haemorrhage between the ?brin glue versus sutures groups (p=0.887 and p=0.797 at day 1). (who.int)
Skin2
- Pulling the skin together with sutures decreases healing time. (skinsight.com)
- The physician will inject a numbing solution (most likely lidocaine) into the skin so that the suturing will not hurt. (skinsight.com)
Material4
- Users will be able to know the difference of each suture material and understand the spectrum of skill need to master suturing. (troutunderground.com)
- One such application is its use as a surgical suture material. (omicsonline.org)
- However, from the result analysis it was found that fiber and yarn properties have a positive impact on the overall performance of suture material. (omicsonline.org)
- The correct positioning of suture material depends on the material used. (medgadget.com)
Market8
- According to GlobalData, the primary driver of the suturing devices market is the increasing number of surgical procedures, especially those propelled by an aging population. (financialexpress.com)
- As living standards in emerging markets continue to rise and a larger portion of the population demands better healthcare, the added market potential could also significantly expand medical device markets for essential yet inexpensive devices, like sutures," Clarke said in a statement. (financialexpress.com)
- The global surgical sutures market reached a value of US$ 4.54 billion in 2021. (researchandmarkets.com)
- This report provides an analysis of the key trends in each sub-segment of the global surgical sutures market, along with forecasts at the global, regional and country level from 2022-2027. (researchandmarkets.com)
- How has the global surgical sutures market performed so far and how will it perform in the coming years? (researchandmarkets.com)
- What has been the impact of COVID-19 on the global surgical sutures market? (researchandmarkets.com)
- What is the structure of the global surgical sutures market and who are the key players? (researchandmarkets.com)
- A comprehensive insight into key players operating in the Sutures Market and their corresponding data. (medgadget.com)
Medical2
- With the increasing prevalence of chronic diseases, trauma, and the burden of age-related health conditions, there will be a higher need for surgical procedures and healing-related medical devices like surgical sutures, the company stated. (financialexpress.com)
- This has not necessarily decreased the demand for sutures, but has resulted in a shift in suture development, with more sutures being absorbable, barbed, or knotless to increase their suitability for these procedures," Ashley Clarke, Medical Analyst at GlobalData, said in a statement. (financialexpress.com)
CONCLUSION1
- Conclusion:The ?brin glue group in conjunctival autografting had signi?cantly less surgery time, which also produces signi?cantly less postoperative discomfort as well as in?ammation with grafts being as stable as those secured with sutures. (who.int)
Durability1
- A variety of sutures exist that vary in size, strength, and durability. (skinsight.com)
Surgical procedures2
- PIs have been reported during 1%-15% of surgical procedures, mostly associated with suturing (1,2). (cdc.gov)
- This, in confluence with the growing number of individuals undergoing surgical procedures, represents one of the major factors positively influencing the demand for surgical sutures. (researchandmarkets.com)
Effectiveness2
- FDA believes that special controls, when combined with the general controls, will be sufficient to provide reasonable assurance of the safety and effectiveness of these surgical suture devices. (fda.gov)
- Coupled with their cost effectiveness and widespread availability, these technological advancements will ensure sutures remain significant. (financialexpress.com)
Devices1
- For instance, Sutrue Ltd., announced the development of two novel automated 3D printed suture stitching devices in June 2018. (medgadget.com)
Device1
- This report summarizes results of a study in which CDC collaborated with three teaching hospitals in New York City during 1993-1994 to evaluate a safety device (a blunt suture needle) in gynecologic surgery. (cdc.gov)
Growth1
- When this happens, growth along that suture line stops. (medlineplus.gov)
Size1
- In the suture making stage this dyed silk fiber is doubled, twisted and waxed to meet the USP size standards. (omicsonline.org)
Product1
- This special control guidance document identifies the classification regulations and product codes for the surgical sutures to which it applies (refer to Section 4 - Scope ). (fda.gov)
Manufacturer1
- The author includes examples from all aspects of Hiller's career, and he examines two of Hiller's most recognizable projects: the 87 Lands campaign for Canadian Club Whisky and Surgery Through the Ages , commissioned by Davis and Geck, a manufacturer of surgical sutures. (rit.edu)
Safer1
- The next generation of sutures are being specifically designed to match their application, improving patient outcomes, and ensure a safer surgical recovery. (financialexpress.com)
Place1
- Now, Fibrin glue is being tried since few years to secure grafts in place of the sutures. (who.int)
Techniques1
- Suture techniques. (bvsalud.org)
Studies1
- This paper also studies possible sorts of sutures which may be provided by the psychoanalytic experience and its extensions. (bvsalud.org)
Time1
- Results:The mean surgery time in ?brin glue group was 15 minutes and mean surgery time in suture group was 28 minutes (p=0.000). (who.int)
Lines2
- The borders where these plates intersect are called sutures or suture lines. (medlineplus.gov)
- There was no statistical difference in which suture was contacted by fracture lines in accidental cases. (nih.gov)
Injury1
- However, that a fracture contacts two or more cranial sutures is an imaging finding not previously described that has a significantly higher association with abusive than with accidental head injury. (nih.gov)
Strength1
- This suture provides excellent pliability and holding strength. (shopmedvet.com)
Color2
- Suture Color: Violet. (troutunderground.com)
- Suture Color: Black. (troutunderground.com)