scholarly journals Tracheoarterial fistula as a complication of prolonged tracheostomy

2021 ◽  
Vol 17 (8) ◽  
pp. 81-83
Author(s):  
R.Yu. Sobko ◽  
M.T. Boiko
Keyword(s):  
Clinical Case ◽  
Massive Bleeding ◽  
Suture Technique ◽  
Vascular Prosthesis ◽  
Fistula Formation ◽  
Brachiocephalic Artery ◽  
Tracheal Lumen ◽  
Continuous Suture ◽  
Satisfactory Condition ◽  
Brachiocephalic Trunk

The article presents a clinical case of a rare and severe complication of prolonged tracheostomy in the form of fistula formation between tracheal lumen and brachiocephalic artery and the development of massive bleeding from it. The patient’s treatment was urgent and successful. Operative intervention was performed with subsequent allografting of brachiocephalic trunk (vascular prosthesis Vascutek 8 mm was used) and the anastomosis was created using a continuous suture technique. The patient was discharged home in a satisfactory condition on the 17th post-operative day.

scholarly journals Needle Adjustment Free (NAF) running suture technique (PAN suture) in laparoscopic partial nephrectomy

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jun-wei Pan ◽  
Xiang Zhang ◽  
Xing-wei Jin ◽  
Xiao Liu ◽  
Wei-chao Tu ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Conversion Rate ◽  
Suture Technique ◽  
Laparoscopic Partial Nephrectomy ◽  
Continuous Suture ◽  
Discharge Time ◽  
Open Conversion ◽  
Traditional Technique ◽  
Affected Side ◽  
Suture Group

Abstract Background It is proposed a new running suture technique called Needle Adjustment Free (NAF) technique, or PAN suture. The efficiency and the safety were evaluated in laparoscopic partial nephrectomy. Methods This new running suture technique avoids the Needle Adjustment method used in traditional techniques. The new continuous suture technique (11 patients) was compared with the traditional continuous suture method (33 patients) used in both transperitoneal and retroperitoneal laparoscopic partial nephrectomy (LPN) in terms of suture time (ST), warm ischemia time (WIT), blood loss (BL), open conversion rate and post-op discharge time, post-op bleeding, post-op DVT, ΔGFR (affected side, 3 months post-op). Differences were considered significant when P < 0.05. Results ST in the PAN suture group was 30.37 ± 16.39 min, which was significant shorter (P = 0.0011) than in the traditional technique group which was 13.68 ± 3.33 min. WIT in the traditional technique group was 28.73 ± 7.89 min, while in the PAN suture group was 20.64 ± 5.04 min, P = 0.0028. The BL in entirety in the traditional technique group was 141.56 ± 155.23 mL, and in the PAN suture group was 43.18 ± 31.17 mL (P = 0.0017). BL in patients without massive bleeding in the traditional technique group was significantly greater than in the PAN suture group at 101.03 ± 68.73 mL versus 43.18 ± 31.17 mL (P = 0.0008). The open conversion rate was 0 % in both groups. There was no significant difference between the two groups in postoperative discharge time, post-op bleeding, post-op DVT, ΔGFR (affected side, 3 months post-op). Conclusions The NAF running suture technique, or PAN suture, leading to less ST, WIT and BL, which was shown to be more effective and safer than the traditional technique used for LPN. A further expanded research with larger sample size is needed.

A New Continuous Suture Technique in Ear Reconstruction With Full-Thickness Skin Grafts

2012 ◽  
Vol 23 (4) ◽  
pp. 1196-1197
Author(s):  
Russell James Bramhall ◽  
Mark Gorman ◽  
Muhammad Adil Abbas Khan ◽  
Muhammad Riaz
Keyword(s):  
Suture Technique ◽  
Ear Reconstruction ◽  
Skin Grafts ◽  
Full Thickness ◽  
Continuous Suture ◽  
Full Thickness Skin ◽  
Thickness Skin

Continuous Suture Technique for Freedom Stentless Valve: Reduced Crossclamp Time

2006 ◽  
Vol 14 (2) ◽  
pp. 128-133 ◽  
Author(s):  
Sven Beholz ◽  
Simon Dushe ◽  
Wolfgang Konertz
Keyword(s):  
Suture Technique ◽  
Continuous Suture

scholarly journals Continuous Suture Technique for Aortic Valve Replacement

2018 ◽  
Vol 45 (2) ◽  
pp. 121-121 ◽  
Author(s):  
Mi Kyung Lee ◽  
Jong Bum Choi ◽  
Nan Yeol Kim
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Continuous Suture

scholarly journals Ascending aorta and aortic root replacement in an infant: a case report

2021 ◽  
Vol 25 (3) ◽  
pp. 83
Author(s):  
V. A. Mironenko ◽  
V. S. Rasumovsky ◽  
A. A. Svobodov ◽  
S. V. Rychin
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Root ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Vascular Prosthesis ◽  
Ascending Aorta ◽  
Left Common Carotid Artery ◽  
Brachiocephalic Trunk

<p>We herein report the first clinical case of prosthetic replacement of the ascending aorta and aortic arch to repair a giant aneurysm in a 7-month-old child. The ascending aorta and arch replacement to the level of left subclavian artery was performed using a no. 16 Polymaille prosthesis, the brachiocephalic trunk was reimplanted into the vascular prosthesis and the kinked section of the left common carotid artery was removed, followed by reimplanting the left common carotid artery into the left subclavian artery. First, proximal anastomosis with the vascular prosthesis was created using a no. 16 Polymaille prosthesis and the vascular suture was strengthened with a Teflon strip. During circulatory arrest, the aortic arch was crossed between the orifice of the left common carotid artery and left subclavian artery, with the cut extended to the isthmus region along the small curvature of the arch. The brachiocephalic trunk was aligned and brought down, with subsequent implantation into the ascending aorta prosthesis 2 cm below the initial fixation point. In the final stage, the kinked section of the left common carotid artery was resected and the aligned left carotid artery was directly reimplanted into the left subclavian artery using end-to-side anastomosis. The patient developed tracheobronchitis and moderate heart failure during the postoperative period. The duration of mechanical ventilation was 16 hours. Infusion and antibacterial therapy were discontinued on postoperative day 8. On postoperative day 13, the patient was discharged and referred to the outpatient centre for further treatment and rehabilitation. A sufficiently large-sized prosthesis allows for further development in paediatric patients. This is facilitated by the preservation of the native aortic root with restored valve function and the formation of a bevelled distal anastomosis with a small unchanged aortic section in the isthmus region, which maintains growth potential. This first reported case of an infant demonstrates the possibility of combination interventions on the aortic arch and brachiocephalic artery during the first year of life.</p><p>Received 30 January 2021. Revised 24 March 2021. Accepted 29 March 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflicts of interests.</p><p><strong>Contribution of the authors: </strong>The authors contributed equally to this article.</p>

Continuous suturing as a wound closure technique for circumcisions

2019 ◽  
Vol 12 (6) ◽  
pp. 470-473
Author(s):  
Manoj Ravindraanandan ◽  
Herman Fernando ◽  
Shahjahan Aslam
Keyword(s):  
Male Circumcision ◽  
Wound Closure ◽  
Suture Technique ◽  
Complication Rates ◽  
Continuous Suture ◽  
Single Institution ◽  
Closure Technique ◽  
Level Of Evidence ◽  
Operative Complications ◽  
Low Incidence

Male circumcision is an extremely common urological procedure worldwide, with many variations in technique. Despite the large volume there is a low incidence of complications associated with circumcisions, with the majority being Clavien-Dindo I or II. In this study, we analyse the outcomes and complication rates associated with a continuous wound closure following a male circumcision. Methods: In a urology department from a single institution, 201 male circumcisions with a continuous wound closure were performed in a 4-year period. Outcomes were analysed retrospectively looking at postoperative complications and readmissions to hospital via our clinical portal. Results: No patients had complications that required admission or re-operation at our institution. Conclusion: No major post-operative complications were observed from our cohort. There were also no documented admissions back to our institution with wound healing complications. However, a limitation is that Clavien-Dindo I and II complications and treatment at general practitioner surgeries were not captured and may not accurately represent our complication rates quoted. Nevertheless, we can conclude from these data that closure for a circumcision using a continuous suture technique gives favourable outcomes with acceptable complication rates. Level of evidence: Not applicable for this multicentre audit.

scholarly journals “Slow” Cesarean Section by Inconsistent Corporal Scar (Clinical Case)

2018 ◽  
Vol 8 (2) ◽  
pp. 75-80
Author(s):  
R. I. Safiullin ◽  
I. I. Musin ◽  
A. R. Molokanova
Keyword(s):  
Caesarean Section ◽  
Clinical Case ◽  
Second Trimester ◽  
Lower Segment ◽  
Satisfactory Condition ◽  
Normal Limits ◽  
Alternative Approach ◽  
Future Child ◽  
A Minor ◽  
Prevailing Rate

Introduction. Increasing the initial number of caesarean delivery operations involves certain risks when planning and carrying subsequent pregnancies. Despite the trend towards operative childbirth being gradually being replaced by natural, the frequency of recurrent caesarean is higher than the prevailing rate due to scar inconsistency and the presence of a “classic” (corporal) scar on the uterus. The use of corporal access to date is gradually being replaced by less traumatic access. The operation of “slow” caesarean section is considered as an alternative approach to surgical delivery.Purpose and objectives. To analyse the operation of “slow” caesarean section in the presence of corporal scars on the uterus.Materials and methods. The resulted clinical case of incomplete rupture of the uterus by corporal scar in the second pregnancy at a period of 38 weeks. Corporal scarring as a result of caesarean operations in the case of interruption of first pregnancy at a period of 22–23 weeks.Results. The patient was discharged in a satisfactory condition on the 5th day with the child. Postoperative period without complications; results of analyses performed prior to discharge within normal limits.Discussion. The conducted corporal incision at the first pregnancy was inexpedient due to presenting increased risks in subsequent pregnancies. For the termination of pregnancy in the second trimester, it was necessary to consider therapeutic methods, the operations of a minor caesarean section or a caesarean section in the lower segment of the uterus.Conclusion. Conducting “slow” caesarean section has the following advantages over classic caesarean section: soft adaptation of the foetus to environmental conditions, purification of the mucous oropharynx of the foetus, establishing a stronger bond between the mother and her future child. In future, we plan to conduct a clinical evaluation of children delivered through a “slow” caesarean section.

scholarly journals RUPTURE OF THE SPLENIC ARTERY ANEURYSM IN PANCREATIC PSEUDOCYST FOLLOWED BY BREAKTHROUGH INTO THE STOMACH

2019 ◽  
Vol 178 (5) ◽  
pp. 110-112
Author(s):  
K. P. Pashkin ◽  
E. V. Motyrova ◽  
I. A. Lunkov ◽  
V. I. Matrosov ◽  
D. V. Mishin ◽  
...  
Keyword(s):  
Informed Consent ◽  
Conflict Of Interest ◽  
Splenic Artery ◽  
Study Author ◽  
Clinical Case ◽  
Pancreatic Pseudocyst ◽  
Artery Aneurysm ◽  
Massive Bleeding ◽  
Splenic Artery Aneurysm ◽  
The People

The article presented the clinical case of massive bleeding due to a rupture of the splenic artery aneurysm in a pancreatic pseudocyst followed by breakthrough into the stomach.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.

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