TECHNIQUE For patients arriving in cardiopulmonary arrest, emergency department thoracotomy is indicated. For those patients arriving stable enough to be transported to the operating room, median sternotomy is the incision of choice. Penetrating injuries to the heart will inevitably cause bleeding of the myocardium, mandating repair to prevent cardiac tamponade. Suture repair of a cardiac lacer...

Recent experimental studies suggest that the use of suture anchors for rotator cuff tear (RCT) repair transfers the "weak link" to the suture-tendon interface where failure occurs as the sutures cut through the tendon. The purpose of this study was to evaluate the effect of using a suture augmentation button on the fixation strength of rotator cuff tendon repair. A 1.5 cm by 2 cm defect was cre...

Transsexualism is a gender identity disorder in which affected individuals believe themselves to be born into the wrong sex. Hormonal therapy and many surgical interventions were adopted in order to change their appearances. Cricothyroid approximation is the most acceptable surgical intervention to raise the vocal pitch in male to female transsexuals. Long-term follow up of this surgery reveale...

This paper describes a novel suturing approach that achieves harmonious and atraumatic soft tissue displacement in periodontal plastic surgery and soft tissue management around implants. The technique relies on a combination of horizontal and vertical mattress that are anchored at the splinted incisal contact points.

BACKGROUND The massive cuff stitch (MCS) is known to be a strong suture, suitable for rotator cuff repair. We modified this technique for massive cuff tears by employing a horizontal medial mattress suture from an anchor as well as a vertically crossing transosseous suture. METHODS We included 42 patients with massive cuff tears suitable for repair: 22 were treated with the modified MCS (MCS ...

BACKGROUND The use of interdomal sutures for tip refinement is common in open rhinoplasty and in endonasal rhinoplasty using a delivery technique, but there is paucity of reports in the literature regarding the use of interdomal suturing techniques when the nondelivery endonasal approach is chosen. OBJECTIVE The authors describe a technique designed to refine the nasal tip with an interdomal ...

A consecutive series of 93 patients had homograft.aortic valve replacement at Green Lane Hospital over a six-month period. Except for 12 assessed at one or two months, the 85 survivors were examined at three months and the clinical degree of aortic incompetence was recorded. Thirty-four of the patients did not proceed to aortography for reasons unrelated to the state of the homograft valve. Fif...

Placement of subcutaneous stitches minimizes the distance between wound edges, diminishes the tension on the wound when percutaneous or running subcutaneous stitches are placed; and, when placed properly, assists in wound edge eversion Yet certain factors, such as extreme defect width, convexity of skin surface, tissue inelasticity, and low coefficient of friction associated with certain suture...