PURPOSE To identify patients who have high risk of wound dehiscence and who might benefit from the use of internal retention sutures. PATIENTS AND METHODS Forty-eight patients with midline abdominal wound dehiscence were compared with 48 control patients standardized by sex, age, and operative indication. RESULTS The mean hospital stay was significantly prolonged in the dehiscence group, re...

OBJECTIVE To present the technique of and indications for serial excision of facial hemangiomas. METHODS Clinical review of patients cared for by the senior author (M.H.) in a private-practice specialty center. RESULTS Forty-six patients underwent serial excision of facial infantile hemangiomas. The average number of excisions was 3 (range, 2-5), with a mean interoperative period of 4 month...

OBJECTIVE To evaluate visual outcomes and complications after phacoemulsification in eyes with cataract and previous radial keratotomy (RK) cuts using different sizes of clear corneal incisions. METHODS The study was a retrospective study. Thirty eyes with cataract and previous RK underwent phacoemulsification and intraocular lens (IOL) implantation. Among them 7 eyes had 8 RK cuts, 13 eyes h...

PURPOSE Although there are several surgical methods for treatment of sacrococcygeal pilonidal sinus, there is no widespread consensus. In this study, we aimed to compare primary closure, Limberg, and modified Limberg flap techniques, with each performed by each of 3 surgeons. METHODS A total of 802 patients who were operated on for pilonidal sinus disease were included in this retrospective c...

OBJECTIVE This randomized clinical study compared the feasibility and safety of the shortest suture for bidirectional knotless barbed versus standard sutures, with either extracorporeal or intracorporeal knots, for vaginal cuff closure following total laparoscopic hysterectomy (TLH) and lymph node dissection for early endometrial cancer. SUBJECTS AND METHODS The study design was Canadian Task...

Background: Abdominal wound dehiscence (AWD) is a severe postoperative complication associated with high mortality and morbidity. Prolonged hospital stay, high incidence of incisional hernia, and subsequent reoperations underline the severity of this complication. The goal of the underlying study was to evaluate possible risk factors for abdominal wound dehiscence and its management. Methods: T...

In Korea, lateral canthoplasty, along with medial epicanthoplasty, has become popular over the past years to widen the horizontal length of the palpebral fissure. However, the effect of the surgery differs greatly depending on the shape and structure of the eyes. If over-widened, complications such as eversion, scarring, and conjunctival exposure may occur. Thus, the author of this study sugges...

Postoperative wound dehiscence is a difficult problem for the general surgeon. Often, patients are too sick, or the wound environment is too hostile, to undergo primary repair. When an eventual repair is performed, a variety of methods are available, but most are associated with unacceptably high morbidity rates, specifically high incidences of recurrences and poor cosmetic outcome. We present ...

Abstract This case of bowel obstruction with multiple postoperative complications provides unique insight into the challenges faced by providers caring for intellectually disabled patients acute surgical abdominal pathology and poor compliance. In this case, component separation was utilized as a method facilitated wound closure compliance in course highlighted both dehiscence infection. The pa...