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3 results on '"Suture Technique"'

1. Réduction de la taille d’une perte de substance par une technique améliorée de suture en bourse.

Author

Avignon, S., Foletti, J.-M., and Guyot, L.

Abstract

Résumé Introduction Les carcinomes cutanés nécessitent une exérèse en marges saines. Au niveau céphalique, ces exérèses entraînent le plus souvent des pertes de substances arrondies ou ovalaires. Du fait de la grande taille de la résection et de l’élasticité limitée des tissus, il n’est pas toujours possible de refermer cette perte de substance dans le même temps opératoire. Nous décrivons une technique permettant de réduire au maximum la taille de la perte de substance. Note technique Il s’agît d’une amélioration de la technique de suture en bourse. La suture en bourse est réalisée avec un surjet intradermique circulaire et améliorée par une suture en V-Y en trois ou quatre points du cercle permettant d’en diminuer la surface. Discussion Il s’agît d’une technique simple, rapide et efficace permettant la diminution de la taille de la perte de substance et ainsi d’accélérer la cicatrisation. Summary Introduction Skin carcinomas require excision with clear margins. In the head and neck region, these excisions most often result in round or oval defects. Due to the big size of the defect and limited tissue elasticity, it is not always possible to close these defects in the same operation. We describe a technique to minimize the size of the defect. Technical note It is an improved purse string suture technique. The purse string suture is realized with a circular continuous intradermal suture and is improved by three or four V-Y sutures, in order to reduce the skin defect. Discussion It is an easy, fast and effective technique for decreasing the size of the skin defect and for speeding up the healing. [ABSTRACT FROM AUTHOR]

Published
2016
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2. [Modified purse string suture to reduce the size of surgical defect].

Author

Avignon S, Foletti JM, and Guyot L

Subjects
Dermatologic Surgical Procedures standards, Humans, Scalp pathology, Scalp surgery, Skin pathology, Skin Neoplasms pathology, Sutures, Tumor Burden, Wound Healing, Cicatrix pathology, Dermatologic Surgical Procedures methods, Skin Neoplasms surgery, Suture Techniques
Abstract

Introduction: Skin carcinomas require excision with clear margins. In the head and neck region, these excisions most often result in round or oval defects. Due to the big size of the defect and limited tissue elasticity, it is not always possible to close these defects in the same operation. We describe a technique to minimize the size of the defect., Technical Note: It is an improved purse string suture technique. The purse string suture is realized with a circular continuous intradermal suture and is improved by three or four V-Y sutures, in order to reduce the skin defect., Discussion: It is an easy, fast and effective technique for decreasing the size of the skin defect and for speeding up the healing., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

Published
2016
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3. [Mechanical venous microanastomosis using a double ring eversion system in reconstructive surgery].

Author

Prade V, Parrau G, Seguin P, Champin J, and Alix T

Subjects
Adolescent, Adult, Aged, Anastomosis, Surgical adverse effects, Anastomosis, Surgical instrumentation, Anastomosis, Surgical methods, Anastomosis, Surgical statistics & numerical data, Female, Graft Occlusion, Vascular epidemiology, Humans, Male, Microsurgery adverse effects, Microsurgery instrumentation, Microsurgery methods, Middle Aged, Plastic Surgery Procedures adverse effects, Plastic Surgery Procedures statistics & numerical data, Retrospective Studies, Suture Techniques adverse effects, Suture Techniques statistics & numerical data, Vascular Grafting adverse effects, Vascular Grafting statistics & numerical data, Young Adult, Free Tissue Flaps adverse effects, Plastic Surgery Procedures instrumentation, Plastic Surgery Procedures methods, Vascular Grafting instrumentation, Vascular Grafting methods, Veins surgery
Abstract

Introduction: The major complications of free flap surgery are anastomotic obstructions. The coupler, mechanical anastomosis using a double ring eversion system, yields higher venous patency rates than sutured anastomoses, and requires less operating time. We present our initial experience with this coupler in free flap surgery., Material and Methods: We conducted this retrospective study between November 2011 and June 2012. We focused on complications having occurred in the first 10 patients having undergone free flap reconstruction (11 flaps) with end-to-end venous anastomosis using this coupler. Five flaps were used to fill cervico-facial defects in carcinologic surgery: one for mandibular osteoradionecrosis, one for cranioplasty coverage, one for cranial base reconstruction, two for skin defects in lower limb (heel, leg). One was an antebrachial radial flap, four anterolateral thigh flaps, five fibular flaps, and one latissimus dorsi flap. Fifteen veins were anastomosed. The diameters of the couplers used were 2.5 mm (3/15), 3 mm (6/15), and 3.5 mm (6/15)., Results: There were no venous complications. One flap failed because of arterial ischemia., Discussion: The coupler is a fast and reliable alternative to usual sutures in free flap reconstructions, for head and neck as well as for limbs., (Copyright © 2013. Published by Elsevier Masson SAS.)

Published
2013
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