Distal clavicle fractures in adolescent patients may benefit from surgical intervention depending on fracture pattern, age of the patient, and other variables. Less-invasive techniques allowing earlier mobilization, decreased pain, and no requirement for hardware removal are attractive. A technique of double-button suture fixation is useful for the treatment of distal clavicle fractures in the ...

Removal of a temporary atrial epicardial pacemaker electrode damaged a saphenous vein graft. A new blood clot was removed from the damaged graft. The hole was successfully repaired with a polypropylene suture. Pacing wires should be carefully sited and should be removed only when facilities for urgent operation are available.

Five patients were subjected to a new technique designed to correct high astigmatism not responding to suture removal or adjustment. The method is described and its use illustrated in five case histories. Four of the five cases were successfully treated. The reasons for the one failure are discussed. All procedures were uncomplicated. The technique is simple, safe, and reversible.

Objectives: To prevent death from atrial ®brillation, a cardiac disease which kills by producing emboli. Atrial ®brillation causes about 25% of strokes and increases stroke rate by ®ve times. Over 90% of these embolic strokes are from clots originating in the left atrial appendage. This study addresses the surgical feasibility of removing the appendage to prevent future deaths in two subcategor...

INTRODUCTION Pterygium excision with conjunctival autografting is the most effective way of treating pterygium with the least recurrence rate. The sutures which can be used to suture the conjunctival autograft are absorbable polyglactin 10-0 sutures or nonabsorbable polyamide 10-0 sutures. The polyamide sutures are inert, elicit minimal acute inflammatory reaction, do not support infection and ...

The vascular complications, their management and results of treatment in 417 consecutive renal transplantations performed at Taleghani Hospital from September 1989 to December 1997, are presented. There were 7 (1.6%) vascular complications. Among them renal artery stenosis occurred in 2 cases (0.4%), renal artery thrombosis in 2 cases (0.4%), renal vein thrombosis in one case (0.2%), bleed...

Antegrade conversion to nephroureteral stent is common after percutaneous nephrostomy tube placement for obstruction when retrograde alternatives fail. Nephroureteral stents often have a nylon retaining suture attached aid in and removal. If the not removed, it can become embedded renal parenchyma as unabsorbable, preventing removal potentially leading adverse outcomes. This case report describ...

PURPOSE To describe a new surgical procedure and its outcomes: osteosynthesis with high-resistance sutures, avoiding metallic implants. Open sky osteosynthesis with Kirschner and cerclage wiring is the current gold standard for patella fractures. Favorable functional outcomes have been observed, although implant removal is required in many cases due to the prominent wires under the skin. New im...

Episiotomy, the incision of the perineum during the last part of the second stage of labour or delivery is still considered a controversial procedure. Long-term complications after episiotomy repair are common. A large proportion of women suffer short-term perineal pain and up to 20% have longer-term problems (e.g. dyspareunia).1 Other complications involve the removal of suture material, exten...