• Title/Summary/Keyword: Convenient suture technique

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Convenient Suture Technique for Pediatric Facial Lacerations (소아 안면열상 환자의 치료에 있어서 유용한 봉합술)

  • Kim, Jun-Hyung;Kwon, Soon-Beom;Eo, Su-Rak;Cho, Sang-Hun;Markowitz, Bernard L.
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.496-498
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    • 2010
  • Purpose: Lacerations requiring formal wound closure compose a significant number of all childhood injuries presenting to the emergency department. The problem with conventional suture technique are that suture removal is quite cumbersome, especially in children. Unwanted soft tissue damage can result in the process of suture removal, which calls for sedation, stressful for both medical personnel and child. The purpose of this study is to introduce the convenient suture technique for pediatric facial lacerations. Methods: Children under the age of four, presenting to the emergency department with facial lacerations were enrolled in the study. From March 2008 to June 2009, 63 patients (41 males and 22 females) with an average age of 1.4 years were treated with our convenient suture technique using utilized a loop suspended above a double, flat tie. Clean, tension free wounds were treated with our technique, wounds with significant skin defect and concomitant fractures were excluded. Results: The Patients were followed-up in 1, 3 and 5 days postoperatively. On the third hospital visit, suture removal was done by simply cutting the loop suspended above the wound margin and gently pulling the thread with forceps. There were no significant differences in the rates of infection and dehiscence compared with conventional suture technique. Conclusion: The use of our technique was to be simple with similar operative time compared with conventional suture technique. Removal of suture materials were easy without unwanted injuries to the surrounding tissue which resulted in less discomfort for the patient and greater parental satisfaction, minimized the complications. It can be considered as a viable alternative in the repair of pediatric facial lacerations.

Arthroscopic All-Inside Repair of Medial Meniscus Root Tear Using 18 Gauge Spinal Needle and Suture Anchor -A Report of Surgical Technique- (18 Gauge 척수 주사 바늘과 Suture Anchor를 이용한 내측 반월상 연골 경골 후방 부착부 파열의 관절경적 All-Inside 봉합술 - 수술 술기 보고 -)

  • Kim, Jong-Min;Jung, Sung-Hoon;Lee, Sang-Ho;Park, Byeong-Mun;Lee, Kil-Hyeong;Jeon, Ho-Seung
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.66-71
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    • 2012
  • The posterior root of medial meniscus maintains normal meniscal function by circumferential hoop tension and prevents extrusion of meniscus and progression of osteoarthritis. A complete tear of posterior root of medial meniscus leads to loss of hoop tension, it is important to repair it and preserve the function of the medial meniscus. Recently, a variety of arthroscopic assisted reduction and repair techniques have been used. We create an arthroscopic all-inside suture technique using a 18 gauge spinal needle and suture anchor that is easier and more convenient compared with the previous techniques. So we report this technique with a review of current literatures.

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Arthroscopic Pull-out Wire Fixation Using Cannulated Screw of Tibial Eminence Fractures (도관 나사못을 이용한 경골 과간 융기 골절의 관절경적 견인 봉합술)

  • Kim, Jong-Min;Kim, Hyung-Gyu;Park, Byeong-Mun;Song, Kyeong-Seop;Jung, Sung-Hoon;Noh, Haeng-Kee;Yoon, Jong-Joo
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.254-258
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    • 2009
  • Tibial eminence fracture is caused by distortion, excessive flexion and extension, varus and valgus injury of the knee joint in the form of avulsion fracture. A failure over the exact anatomical reduction of fragment can lead to instability and limitation of joint motion. Recently, a variety of arthroscopic assisted reduction and fixation technique have been used. In the tibial eminence fracture, we created an arthroscopic pull-out wire fixation technique using a cannulated screw that is easy and more convenient than in the conventional technique. So we report this technique with a review of current literatures.

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SIMPLE DOUBLE EYELID OPERATION (ORIENTAL BLEPHAROPLASTY) USING Y NEEDLE (Y needle을 이용한 간단한 이중검 수술)

  • Yang, Byoung-Eun;Kim, Seong-Gon;Kim, Yong-Kwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.157-161
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    • 2004
  • The eyes, the saying goes, are the windows of the soul. It's the first thing you notice about a person. Therefore, many people want to possess beautiful eyelids. Surgical formation of a palpebral fold and sulcus divides the lid into two well-defined segments (palpebral and pretarsal), producing the double eyelid desired by many Oriental women as well as an increasing number of man recently. Upper lid blepharoplasty is the Oriental eye is one of the variations of standard upper lid blepharoplasty. In Oriental double eyelid surgery, there have been two approaches to form a superior palpebral fold: the buried suture(nonincision) method and the full external incision method. Conventionally, the nonincision technique has been shown to produce little postoperative edema. However, the probability of the fold disappearing is high, and this technique cannot be performed in patients with fatty eyelids. Conversely, the incision technique has contrary characteristics. Recently, partial incision(or semi-open) technique which is combination of mentioned methods is used, this technique is removal of pretarsal tissue, muscle, and/or orbital fat around 2 or 3 incision site to facilitate tarsus-dermal adhesion. Our method is on the basis of this technique, furthermore, compared with conventional semi-open method, Y(Yang's) needle assisted double eyelid operation is more easy, convenient, saving-time method and provide satisfactory results.