OBJECTIVE To assess whether outcomes of strabismus surgery are improved by using the adjustable suture technique and to determine which subgroups of strabismus patients benefit most from the adjustable suture technique. DESIGN A retrospective chart review. PARTICIPANTS A total of 535 adults who underwent strabismus surgery between 1989 and 2010. METHODS Success was defined as ≤10 prism di...

INTRODUCTION Initially conceived as the first of two stages in operations such as gastric bypass or duodenal switch in high-risk patients, laparoscopic vertical sleeve gastrectomy has increasingly become the definitive procedure for treating obesity and its comorbidities. Although it is associated with excellent results and postoperative quality of life, a number of complications related to imp...

AIMS To assess the results of visual axis alignment following one stage adjustable suture surgery to correct vertical diplopia. METHOD Eight patients with a mean age of 44.9 years (range 16-80 years) complaining of vertical diplopia underwent rectus muscle recession under local anaesthesia with intraoperative adjustment of sutures. Diplopia was secondary to superior oblique paresis in four pa...

Meniscal repair indications have not really changed in recent years. Typically younger, more active patients with concomitant ACL reconstruction and peripheral third vertical tears continue to be the “best” repair candidates. However, even in these “ideal” candidates, meniscal repair continues to represent a significant challenge. While most will not dispute that vertical tears greater than 1 c...

OBJECTIVE To present and evaluate a new technique that allows the second-stage suture adjustment in strabismus surgery to be skipped or delayed if the immediate postoperative alignment is satisfactory. METHODS The "short tag noose" technique replaces long sutures with short tags that can be left under the conjunctiva after adjustment. Retrospectively, the medical records of all patients treat...

INTRODUCTION Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, ...

STUDY OBJECTIVES Although spine boards are one of the main EMS means of immobilization and transportation, few studies have addressed the discomfort and potential harmful consequences of using this common EMS tool. We compared the levels of pain and tissue-interface (contact) pressures in volunteers immobilized on spine boards with and without interposed air mattresses. DESIGN Prospective cro...

OBJECT The authors present the results of treating infants with multiple-suture nonsyndromic craniosynostosis in whom the authors used minimally invasive endoscopy-assisted techniques and postoperative cranial molding over an 11-year period. METHODS A total of 21 patients who presented with multiple-suture (nonsyndromic) craniosynostosis were treated using minimally invasive endoscopy-assiste...

OBJECTIVE To compare the risk of cesarean wound disruption or infection after closure with surgical staples compared with subcuticular suture. METHODS Women with viable pregnancies at 24 weeks of gestation or greater undergoing scheduled or unscheduled cesarean delivery were randomized to wound closure with surgical staples or absorbable suture. Staples were removed at postoperative days 3-4 ...