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[PMID]:29208834
[Au] Autor:Shekhawat N; Goyal K
[Ad] Endereço:Department of Ophthalmology, SMS Medical College and Attached Hospitals, Jaipur, Rajasthan, India.
[Ti] Título:Sutureless glueless intrascleral fixation of posterior chamber intraocular lens: Boon for aphakic.
[So] Source:Indian J Ophthalmol;65(12):1454-1458, 2017 Dec.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To report results of intrascleral fixation of 3-piece IOL without the help of suture and glue. METHODS: Study included intrascleral fixation of haptic in 50 eyes by T-fixation technique. Preoperative and postoperative visual acuity, slit lamp and fundus examination, applanation tonometry, keratometry, biometry, optical coherence tomography, Scheimpflug imaging were done for extensive evaluation. Qualitative and quantitative data were summarized in the form of proportion and mean and standard deviation, respectively. The significance of difference was measured by Chi-square test or unpaired t-test or ANOVA whichever is appropriate. P < 0.05 was considered as statistically significant. RESULTS: There was one case in which haptic broke during handshake maneuver and another IOL was required. Postoperative complications included corneal edema (4%), increased intraocular pressure (6%), cystoid macular edema (2%), decentration (4%), and dislocation (2%), which were all managed to the level of good visual recovery. There was no significant change in corneal astigmatism. There was significant change found in best-corrected visual acuity and uncorrected visual acuity after surgery. CONCLUSION: This modified technique seems to be a good alternative in IOL implantation in eyes with deficient capsules in view of the decrease in the learning time and surgical time and risk for complications.
[Mh] Termos MeSH primário: Afacia Pós-Catarata/cirurgia
Implante de Lente Intraocular/métodos
Segmento Posterior do Olho/cirurgia
Esclera/cirurgia
Procedimentos Cirúrgicos sem Sutura/métodos
Acuidade Visual
[Mh] Termos MeSH secundário: Adesivos
Afacia Pós-Catarata/fisiopatologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Desenho de Prótese
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Adhesives)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180103
[Lr] Data última revisão:
180103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_620_17


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[PMID]:29208833
[Au] Autor:Kelkar AS; Fogla R; Kelkar J; Kothari AA; Mehta H; Amoaku W
[Ad] Endereço:Department of Ophthalmology, National Institute of Ophthalmology, Pune, Maharashtra, India.
[Ti] Título:Sutureless 27-gauge needle-assisted transconjunctival intrascleral intraocular lens fixation: Initial experience.
[So] Source:Indian J Ophthalmol;65(12):1450-1453, 2017 Dec.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of the study was to report our initial experience with the transconjunctival Intrascleral Intraocular Lens (SFIOL) fixation with modified Yamane's double-needle technique and flanged haptics. METHODS: This was a prospective interventional study that enrolled 31 consecutive patients undergoing SFIOL with the modified Yamane's technique. All patients underwent comprehensive evaluation including uncorrected and best-corrected vision, intraocular pressure, ultrasound biomicroscopy, endothelial cell density, and macular thickness using optical coherence tomography (OCT). We excluded patients with visually significant coexistent pathology such as corneal scars, macular pathology, and glaucoma. RESULTS: The mean age of subjects was 57 ± 16.9 years and 23 were men (74%). Surgery was performed for aphakia following complicated cataract surgery in 10 eyes (32%), with lensectomy for subluxated/dislocated cataract in 6 eyes (19%), and with IOL explantation for subluxated/dislocated IOL in 15 eyes (48%). There were no intraoperative complications. Uncorrected visual acuity improved from median of 1.48 logarithm of minimum angle of resolution (logMAR) units (interquartile range [IQR] = 1.3-2 logMAR) at baseline to 0.3 logMAR (IQR = 0.2-0.4 logMAR) at 6 weeks (P < 0.001) which was maintained at 6 months. There were no significant changes in endothelial cell density (P = 0.34) and OCT-based macular thickness (P = 0.31) at 6 months. Two eyes had slight IOL decentration. CONCLUSION: Our initial experience suggests that the Yamane's technique for SFIOL is a simple procedure with a short-learning curve and is independent of scleral flaps, tunnels, sutures, and fibrin glue. Using widely available 27-gauge needle instead of 30-gauge thin wall needle as originally described by Yamane makes it possible for the use of various three-piece IOLs available globally. Further studies are required for widespread acceptance of this technique.
[Mh] Termos MeSH primário: Afacia/cirurgia
Túnica Conjuntiva/cirurgia
Lentes Intraoculares
Agulhas
Esclera/cirurgia
Procedimentos Cirúrgicos sem Sutura/instrumentação
Acuidade Visual
[Mh] Termos MeSH secundário: Afacia/fisiopatologia
Desenho de Equipamento
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180103
[Lr] Data última revisão:
180103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_659_17


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[PMID]:29208817
[Au] Autor:Narang P; Agarwal A
[Ad] Endereço:Narang Eye Care and Laser Centre, Ahmedabad, Gujarat, India.
[Ti] Título:Glued intrascleral haptic fixation of an intraocular lens.
[So] Source:Indian J Ophthalmol;65(12):1370-1380, 2017 Dec.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:Glued intrascleral haptic fixation of an intraocular lens (glued IOL) has evolved as a technique with various modifications that are adopted and practiced by several surgeons. With adequate and appropriate haptic tuck, glued IOL imparts a stable IOL fixation and is a secured method of secondary IOL placement with no pseudophacodonesis.
[Mh] Termos MeSH primário: Extração de Catarata/métodos
Adesivo Tecidual de Fibrina/farmacologia
Lentes Intraoculares
Esclera/cirurgia
Procedimentos Cirúrgicos sem Sutura/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Desenho de Prótese
Refração Ocular
Adesivos Teciduais
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Fibrin Tissue Adhesive); 0 (Tissue Adhesives)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180103
[Lr] Data última revisão:
180103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.4103/ijo.IJO_643_17


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[PMID]:28683983
[Au] Autor:Pfeiffer S; Fischlein T; Santarpino G
[Ad] Endereço:Cardiovascular Center, Department of Cardiac Surgery, Klinikum Nürnberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany.
[Ti] Título:Sutureless Sorin Perceval Aortic Valve Implantation.
[So] Source:Semin Thorac Cardiovasc Surg;29(1):1-7, 2017 Spring.
[Is] ISSN:1532-9488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The sutureless Perceval aortic valve (Sorin Group, Saluggia, Italy) is a device increasingly used in many European cardiac surgery centers. Since the first reports evaluating implantation feasibility and valve safety in humans in 2007, an increasing amount of data have become available, including premarketing clinical results and experience in particular conditions. Overall, excellent performances have been demonstrated in hemodynamic outcomes, safety, and versatility of use. However, several questions remain unanswered, especially regarding long-term durability, risk for endocarditis, and the need for postoperative pacemaker implantation. In this article, the most important studies published until now in the literature will be described, providing a state-of-the-art overview of current knowledge as well as future directions and indications for the use of the Perceval valve based on preliminary results of ongoing studies.
[Mh] Termos MeSH primário: Valva Aórtica/cirurgia
Bioprótese
Doenças das Valvas Cardíacas/cirurgia
Implante de Prótese de Valva Cardíaca/instrumentação
Implante de Prótese de Valva Cardíaca/métodos
Próteses Valvulares Cardíacas
Procedimentos Cirúrgicos sem Sutura
[Mh] Termos MeSH secundário: Valva Aórtica/fisiopatologia
Doenças das Valvas Cardíacas/diagnóstico
Doenças das Valvas Cardíacas/fisiopatologia
Implante de Prótese de Valva Cardíaca/efeitos adversos
Seres Humanos
Complicações Pós-Operatórias/etiologia
Desenho de Prótese
Recuperação de Função Fisiológica
Fatores de Risco
Procedimentos Cirúrgicos sem Sutura/efeitos adversos
Substituição da Valva Aórtica Transcateter
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE


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[PMID]:28526037
[Au] Autor:Misawa Y
[Ad] Endereço:Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. tcvmisa@jichi.ac.jp.
[Ti] Título:Off-pump sutureless repair for ischemic left ventricular free wall rupture: a systematic review.
[So] Source:J Cardiothorac Surg;12(1):36, 2017 May 19.
[Is] ISSN:1749-8090
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Clinical results of ischemic left ventricular free-wall rupture show high mortality rates. METHODS: We reviewed studies published after 1993 on PubMed. RESULTS: A sutureless technique using fibrin glue sheets or patches with/without fibrin glue might contribute to improved clinical results. However, some technique limitations remain for blowout-type ruptures, and the possibility of a pseudoaneurysm formation at the repair site after surgery should be considered. CONCLUSIONS: The sutureless technique can be a promising strategy for the treatment of ischemic rupture, but serial echocardiographic studies should be mandatory for diagnosing a left ventricular pseudoaneurysm formation thereafter.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/métodos
Ruptura Cardíaca Pós-Infarto/cirurgia
Ventrículos do Coração/cirurgia
Procedimentos Cirúrgicos sem Sutura/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170521
[St] Status:MEDLINE
[do] DOI:10.1186/s13019-017-0603-7


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[PMID]:28332089
[Au] Autor:Yoshimura N; Fukahara K; Yamashita A; Doi T; Takeuchi K; Yamashita S; Homma T; Yokoyama S; Aoki M; Ikeno Y
[Ad] Endereço:Department of Cardiothoracic Surgery, University of Toyama, Graduate School of Medicine, 2630 Sugitani, Toyama, 930-0194, Toyama, Japan. ynaoki@med.u-toyama.ac.jp.
[Ti] Título:Surgery for total anomalous pulmonary venous connection: primary sutureless repair vs. conventional repair.
[So] Source:Gen Thorac Cardiovasc Surg;65(5):245-251, 2017 May.
[Is] ISSN:1863-6713
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Despite recent advances in surgical technique and perioperative care, the surgical correction of total anomalous pulmonary venous connection (TAPVC) remains a challenge. The major complication and the main cause of reoperation in TAPVC surgery are the occurrence of pulmonary venous obstruction (PVO). In the 1990s, sutureless repair was introduced as a technique to relieve PVO after TAPVC repair. Following the favorable outcomes for postoperative PVO, the indications for sutureless repair as a primary operation have been expanded to include infants who have preoperative PVO or those at risk of developing PVO after the repair of TAPVC. However, the indications of "prophylactic" primary sutureless repair still remain controversial. Recent studies have shown that normal-risk patients have excellent early and long-term outcomes and a low incidence of reoperation for postoperative PVO. Most patients who survived beyond 2 years after TAPVC surgery were in NYHA class I and offered good outcomes. Although favorable early and mid-term outcomes of primary sutureless repair are reported, the long-term outcomes of this technique are still unclear. The influence of non-contractile pericardial tissue interposed between the PV vessel wall and LA myocardium on the atrial function is also unclear in patients who undergo sutureless repair. Another disadvantage of primary sutureless repair is potential bleeding from the gap between the confluence and pericardium into the posterior mediastinum or pleural cavity. Thus, it might be best for primary sutureless repair to be indicated for high-risk infants, such as those with TAPVC associated with single-ventricular physiology, mixed-type TAPVC, or small PV confluence.
[Mh] Termos MeSH primário: Veias Pulmonares/anormalidades
Procedimentos Cirúrgicos sem Sutura/métodos
Malformações Vasculares/cirurgia
Procedimentos Cirúrgicos Vasculares/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Lactente
Recém-Nascido
Circulação Pulmonar
Veias Pulmonares/cirurgia
Reoperação
Malformações Vasculares/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1007/s11748-017-0769-x


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[PMID]:28279777
[Au] Autor:Bruzoni M; Jaramillo JD; Dunlap JL; Abrajano C; Stack SW; Hintz SR; Hernandez-Boussard T; Dutta S
[Ad] Endereço:Division of Pediatric Surgery, Lucile Packard Children's Hospital, Stanford University, Stanford, CA.
[Ti] Título:Sutureless vs Sutured Gastroschisis Closure: A Prospective Randomized Controlled Trial.
[So] Source:J Am Coll Surg;224(6):1091-1096.e1, 2017 Jun.
[Is] ISSN:1879-1190
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sutureless gastroschisis repair involves covering the abdominal wall defect with the umbilical cord or a synthetic dressing to allow closure by secondary intention. No randomized studies have described the outcomes of this technique. Our objective was to prospectively compare short-term outcomes of sutureless vs sutured closure in a randomized fashion. STUDY DESIGN: We recruited patients who presented with gastroschisis between 2009 and 2014 and were randomized into either sutureless or sutured treatment groups. Patients with complicated gastroschisis (stricture, perforation, and ischemia) were excluded. Predefined ventilation, feeding, and dressing change protocols were instituted. Primary outcomes were time to extubation and time to full feeds. Secondary outcomes included time to discharge and rate of complications. Data were analyzed using Fisher's exact or t-tests using a p value ≤ 0.05. Factors associated with increased time to discharge were estimated using multivariate analyses. RESULTS: Thirty-nine patients were enrolled, 19 to sutureless and 20 to sutured repair. There was no statistical difference in time to extubation (sutureless 1.89 vs sutured 3.15 days; p = 0.061). The sutureless group had a significant increase in mean time to full feeds (45.1 vs 27.8 days; p = 0.031) and mean time to discharge (49.3 vs 31.4 days; p = 0.016). Complication rates were similar in both groups. Multivariate regression modeling showed that an increase in time to discharge was independently associated with sutureless repair, feeding complications, and sepsis. CONCLUSIONS: Sutureless repair of uncomplicated gastroschisis can be performed safely, however, it is associated with a significant increase in time to full feeds and time to discharge.
[Mh] Termos MeSH primário: Gastrosquise/cirurgia
Procedimentos Cirúrgicos sem Sutura
Suturas
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Masculino
Estudos Prospectivos
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE


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[PMID]:28238161
[Au] Autor:Uludag SS; Teksoz S; Arikan AE; Tarhan O; Yener HM; Ozcan M; Liddy W; Randolph GW
[Ad] Endereço:Department of General Surgery, Istanbul University, Cerrahpasa Medical Faculty, Cerrahpasa Tip Fakultesi, Genel Cerrahi Anabilim Dali, Fatih, 34098, Istanbul, Turkey.
[Ti] Título:Effect of energy-based devices on voice quality after total thyroidectomy.
[So] Source:Eur Arch Otorhinolaryngol;274(5):2295-2302, 2017 May.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Voice alteration is an important complication of thyroid surgery and is closely related to patients' quality of life. There are no studies analyzing effect of energy-based devices (EBD) on voice quality (VQ). Aim of this prospective study is to evaluate impact of sutureless total thyroidectomy performed with EBDs on objective voice parameters of patients without recurrent laryngeal nerve (RLN) and/or external branch of superior laryngeal nerve (EBSLN) injury. Sixty patients underwent total thyroidectomy with meticulous dissection of EBSLN. Patients were assigned to Group L (Ligasure™), Group H (Harmonic), or Group C (Conventional) through random ballot. For analysis of alteration in VQ, digital videolaryngostroboscopy (VLS), voice handicap index (VHI), multidimensional voice program (MDVP), and electroglottography (EGG) were used. VLS was performed by 70°-angled indirect laryngoscopy and evaluation was standardized by VLS scale and laryngeal function scoring. This study is registered on clinicaltrials.gov with number NCT01865006. Forty eight patients were female. There was no difference on demographic data. On post-operative laryngoscopic examination, none of the patients had vocal fold palsy. When mean VHI scores at post-operative 1st week and 2nd month were compared to pre-operative values for each groups, groups L and H demonstrated a significant increase in VHI in the early post-operative evaluation, while there was no significant increase for group C. No significant increase was seen in late post-operative period compared to pre-operative period for any groups. In the early post-operative period, VQ is better with the conventional technique than EBDs; however, in late post-operative period, VQ is detected better in EBDs (especially in Group L) than the conventional technique, but no statistical difference was observed.
[Mh] Termos MeSH primário: Complicações Pós-Operatórias
Qualidade de Vida
Procedimentos Cirúrgicos sem Sutura
Tireoidectomia
Distúrbios da Voz
Qualidade da Voz
[Mh] Termos MeSH secundário: Adulto
Desenho de Equipamento
Feminino
Seres Humanos
Laringoscopia/métodos
Masculino
Meia-Idade
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/psicologia
Estudos Prospectivos
Procedimentos Cirúrgicos sem Sutura/efeitos adversos
Procedimentos Cirúrgicos sem Sutura/instrumentação
Procedimentos Cirúrgicos sem Sutura/métodos
Tireoidectomia/efeitos adversos
Tireoidectomia/instrumentação
Tireoidectomia/métodos
Resultado do Tratamento
Distúrbios da Voz/diagnóstico
Distúrbios da Voz/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170227
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-016-4444-0


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[PMID]:28109378
[Au] Autor:Díez-Villanueva P; Sarraj A; Navarrete G; Salamanca J; Pozo E; Reyes G; Alfonso F
[Ad] Endereço:Department of Cardiology, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, Madrid, Spain.
[Ti] Título:Surgical Repair of Huge Left Ventricular Pseudoaneurysm After Sutureless Repair of Free Wall Rupture.
[So] Source:Ann Thorac Surg;103(2):e157-e159, 2017 Feb.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Left ventricular pseudoaneurysm (LVPsA) is a rare complication after sutureless patch repair of left ventricular free wall rupture (LVFWR), with few cases reported in the literature so far. We present the case of a young patient who early developed a huge LVPsA and moderate mitral regurgitation after sutureless patch repair for LVFWR after undergoing a successful Dor procedure using the "triple empanada patch technique" to exclude the LVPsA, remodel the left ventricle, and address the moderate mitral regurgitation. Serial echocardiograms during follow-up are strongly recommended, even in patients with successful patch repair, to facilitate timely diagnosis and management.
[Mh] Termos MeSH primário: Falso Aneurisma/diagnóstico por imagem
Falso Aneurisma/cirurgia
Aneurisma Cardíaco/cirurgia
Ruptura Cardíaca Pós-Infarto/cirurgia
[Mh] Termos MeSH secundário: Adulto
Falso Aneurisma/etiologia
Procedimentos Cirúrgicos Cardíacos/métodos
Angiografia por Tomografia Computadorizada/métodos
Seguimentos
Aneurisma Cardíaco/diagnóstico por imagem
Aneurisma Cardíaco/etiologia
Ruptura Cardíaca Pós-Infarto/etiologia
Ventrículos do Coração/diagnóstico por imagem
Ventrículos do Coração/cirurgia
Seres Humanos
Imagem Cinética por Ressonância Magnética/métodos
Masculino
Infarto do Miocárdio/complicações
Infarto do Miocárdio/diagnóstico por imagem
Cuidados Pré-Operatórios
Medição de Risco
Índice de Gravidade de Doença
Procedimentos Cirúrgicos sem Sutura/efeitos adversos
Resultado do Tratamento
Procedimentos Cirúrgicos Vasculares/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170123
[St] Status:MEDLINE


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[PMID]:28034773
[Au] Autor:Amirkazem VS; Malihe K
[Ad] Endereço:Birjand University of Medical Sciences, General Surgery Department, Imam Reza Hospital, Taleghany St, Birjand, South Khosrasan, Iran. Electronic address: vejdan_sa@yahoo.com.
[Ti] Título:Randomized clinical trial of ligasure™ versus conventional splenectomy for injured spleen in blunt abdominal trauma.
[So] Source:Int J Surg;38:48-51, 2017 Feb.
[Is] ISSN:1743-9159
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Spleen is the most common organ damaged in cases of blunt abdominal trauma and splenectomy and splenorrhaphy are the main surgical procedures that are used in surgical treatment of such cases. In routine open splenectomy cases, after laparotomy, application of sutures in splenic vasculature is the most widely used procedure to cease the bleeding. This clinical trial evaluates the role and benefits of the Ligasure™ system in traumatic splenectomy without using any suture materials and compares the result with conventional method of splenectomy. METHODS: After making decision for splenectomy secondary to a blunt abdominal trauma, patients in control group (39) underwent splenectomy using conventional method with silk suture ligation of splenic vasculature. In the interventional group (41) a Ligasure™ vascular sealing system was used for ligating of the splenic vein and artery. The results of operation time, volume of intra-operation bleeding and post-operative complications were compared in both groups. RESULTS: The mean operation times in control and interventional group were 21 and 12 min respectively (p < 0.05). The average volume of bleeding in control group during open splenectomy was 280 cc, but in the interventional group decreased significantly to 80 ml (p < 0.05) using the Ligasure system. Post-operative complications such as bleeding were non-existent in both groups. CONCLUSION: The application of Ligasure™ in blunt abdominal trauma for splenectomy not only can decrease the operation time but also can decrease the volume of bleeding during operation without any additional increase in post-operative complications. This method is recommendable in traumatic splenic injuries that require splenectomy in order to control the bleeding as opposed to use of traditional silk sutures.
[Mh] Termos MeSH primário: Baço/lesões
Esplenectomia/métodos
Artéria Esplênica/cirurgia
Veia Esplênica/cirurgia
Procedimentos Cirúrgicos sem Sutura/métodos
Ferimentos não Penetrantes/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Hemorragia/etiologia
Seres Humanos
Laparotomia
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/cirurgia
Ruptura/cirurgia
Baço/irrigação sanguínea
Baço/cirurgia
Procedimentos Cirúrgicos sem Sutura/instrumentação
Ferimentos não Penetrantes/complicações
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161231
[St] Status:MEDLINE



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