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Journal articles on the topic 'Absorbable clips. Operative time'

Author: Grafiati

Published: 5 June 2025

Last updated: 16 July 2025

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1

Yogesh, Agarwal, Kumar Pawan, Agarwa Anand, and Kumar Gupta Anil. "Effectiveness of Electrocoagulation in Laparoscopic Cholecystectomy for Cystic Artery and Cystic Duct Occlusion with Just One Absorbable Clip." International Journal of Current Pharmaceutical Review and Research 15, no. 03 (2023): 234–37. https://doi.org/10.5281/zenodo.12652260.

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Background: The standard method of treating gallbladder problems is laparoscopiccholecystectomy (LC), but there is disagreement over the best way to ligate the cystic ductand artery. The shortcomings of conventional metal clips have sparked interest in absorbableclips. However, difficulties arise when using numerous expensive ultrasonic devices andhuge clips.Methods: Patients undergoing LC participated in the trial, which was conducted in MahatmaGandhi hospital attached to RVRS medical college, Bhilwara. For occlusion, different clipswere used. We gathered information on demographics, surgical

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Velotti, N., M. Manigrasso, K. Di Lauro, et al. "Comparison between LigaSure™ and Harmonic® in Laparoscopic Sleeve Gastrectomy: A Single-Center Experience on 422 Patients." Journal of Obesity 2019 (January 3, 2019): 1–5. http://dx.doi.org/10.1155/2019/3402137.

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Background. New laparoscopic devices, such as electrothermal bipolar-activated devices (LigaSure™ (LS)) or ultrasonic systems (Harmonic® scalpel (HS)), have been applied recently to bariatric surgery allowing to reduce blood loss and surgical risks. The aim of this study was to retrospectively compare intraoperative performance of HS and LS, postoperative results, and clinical outcomes in a large cohort of patients undergoing LSG. Methods. Data from 422 morbidly obese patients undergoing LSG in our Bariatric Unit at the Advanced Biomedical Sciences Department of the “Federico II” University of

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Abdallah, Adel M. "Outcome of over-sewing reinforcement of gastric staple line during laparoscopic sleeve gastrectomy in morbid obese patients: single center experience." International Surgery Journal 5, no. 3 (2018): 991. http://dx.doi.org/10.18203/2349-2902.isj20180818.

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Background: During laparoscopic sleeve gastrectomy (LSG), different staple line reinforcement techniques are adopted by many bariatric surgeons, aiming at reducing the incidence of bleeding and leakage from the staple line.Methods: Fifty patients suffering from morbid obesity with body mass index above 35kg/m2 were prepared for LSG. The patients were enrolled in a prospective, randomized controlled study comparing the effect of staple line reinforcement by suture over-sewing versus non-reinforcement. Patients were classified randomly into two groups. In group I, after gastric stapling, the sta

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Jha, Ashwini Kumar, Mina Jha, Rajesh Kumar Sah, Vinay Kumar Jha, and Hem Shankar Yadav. "Status of clipless laparoscopic cholecystectomy in a tertiary care hospital of Nepal: A descriptive cross-sectional study." Janaki Medical College Journal of Medical Science 12, no. 01 (2024): 40–46. http://dx.doi.org/10.3126/jmcjms.v12i01.65242.

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Background & Objectives: In this modern age, the preferred course of treatment for gallstone disease symptoms is laparoscopic cholecystectomy. For securing both the cystic duct and artery with a single ligation (SLAD), is a quicker and safe procedure. The study was aimed to determine the status of clipless laparoscopic cholecystectomy in a tertiary care hospital of Nepal. Materials and Methods: A total of 205 patients with gallstone, who underwent laparoscopic cholecystectomy at tertiary center of Nepal of age group 16 - 70 years were included. During the procedure the cystic duct and arte

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Абдулмаджид, M. У., Х. А. Джасим, and Ф. М. Катуф. "Comparison Study between Laparoscopic Hem-o-lok Clipping Versus Open Vicryl Knotting of Appendiceal Stump Closure." Хирургия. Восточная Европа 13, no. 2 (2024): 197–204. http://dx.doi.org/10.34883/pi.2024.13.2.031.

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Введение. Острый аппендицит является наиболее распространенной неотложной общехирургической операцией. Аппендэктомия выполняется открытым и лапароскопическим способами. Существует несколько методов закрытия культи аппендикса, включая эндолуп, клипирование титановой клипсой, зажимы Hem-o-lok, интракорпоральные узлы и линейные степлеры, однако до сих пор не установлено, какой из них предпочтительнее. Одним из видов клипс являются полимерные клипсы (Hem-o-lok), которые изготавливают из непроводящего инертного нерассасывающегося вещества. С их помощью можно фиксировать кровеносные сосуды диаметром

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Balomenos, Dimitrios B., Pagona G. Gοuletsοu, and Apostolos D. Galatos. "Comparison of Absorbable and Nonabsorbable Sutures for Intradermal Skin Closure in Dogs." Veterinary Sciences 10, no. 2 (2023): 105. http://dx.doi.org/10.3390/vetsci10020105.

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The study aimed to compare incisional wound healing with intradermal suture patterns performed with (a) absorbable suture with burying of the knots and (b) nonabsorbable suture anchored with clips. Ten dogs were included in the study. Surgically created skin incisions were apposed with continuous intradermal suture pattern with 4/0 poliglecaprone 25 with burying of the knots and continuous intradermal pattern with 4/0 polypropylene with clips. Cosmetic, clinical, ultrasonographic and histological scores were evaluated. The intradermal pattern with clips was easier to perform and required signi

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Wilson, MSJ, P. Maniam, A. Ibrahim, N. Makaram, SR Knight, and P. Patil. "Polymeric clips are a quicker and cheaper alternative to endoscopic ligatures for securing the appendiceal stump during laparoscopic appendicectomy." Annals of The Royal College of Surgeons of England 100, no. 6 (2018): 454–58. http://dx.doi.org/10.1308/rcsann.2018.0036.

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Introduction The use of polymeric clips in securing the appendiceal stump has been increasingly reported as a viable alternative to current methods in emergency laparoscopic appendicectomy. We evaluated the operative outcomes following the use of polymeric clips versus endoscopic ligatures. The primary endpoint was operative time, with secondary outcomes including complications, inpatient stay, and cost analysis. Materials and methods Operative records were retrospectively analysed to identify patients undergoing laparoscopic appendicectomy between January 2014 and June 2015. Data collected in

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Chan, Chying-Chyuan, and Ching-Yu Lee. "Feasibility and Safety of Absorbable Knotless Wound Closure Device in Laparoscopic Myomectomy." BioMed Research International 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/2849476.

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Purpose.Myomectomy has been performed through laparoscopy. Suturing is known as rate-limiting step in laparoscopic myomectomy. The present study was aimed at comparing the clinical outcomes of absorbable knotless wound closure device with the results of conventional suturing.Methods. This prospective study included 62 women who underwent laparoscopic myomectomy at Taipei City Hospital, Zhongxiao Branch, from January 2010 through to August 2012. The patients were randomized into two groups according to suturing materials, the knotless group and the 2-0 Vicryl suture group. Patient demographics,

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Kim, Dylan K., Matthew A. Wright, and Jeffrey A. Ascherman. "Use of Absorbable Dermal Staples in Bilateral Breast Reduction Surgery." Annals of Plastic Surgery 92, no. 4S (2024): S150—S155. http://dx.doi.org/10.1097/sap.0000000000003904.

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Background Use of the absorbable deep dermal stapler in wound closure has become more common in plastic surgery because of its possible reduction in operative times and subsequent decrease in operative room costs. In this study, we examine the effects of this stapler on operative times and postoperative complications in bilateral reduction mammaplasties. Methods A retrospective, observational cohort study was conducted via electronic chart review on patients who underwent bilateral reduction mammaplasties. Patients were stratified by wound closure method. One group was closed with sutures only

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J. S, Vinith, Shaikh Aaliah S Naaz, E. M. J. Karthikeyan, Praveen Kumar.S, Karthick Manikandan.A, and J. Sridhar. "A Prospective Study: Comparing Stump Closure by Hem-o-Lok Clips Versus Roeder’s Knot in Laparoscopic Appendectomy." Journal of Neonatal Surgery 14, no. 5S (2025): 472–80. https://doi.org/10.52783/jns.v14.2084.

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Background: Laparoscopic appendectomy has become the preferred surgical approach for acute appendicitis due to its advantages, such as reduced postoperative pain, shorter hospital stays, and faster recovery. However, the method of appendiceal stump closure remains a topic of debate, with techniques such as Hem-o-Lok clips and Roeder’s knot being widely used. The choice between these two techniques is crucial, as it impacts operative time, patient outcomes, complication rates, and overall cost-effectiveness. Despite existing research comparing the two methods, a consensus on the superior techni

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Sultanpur, Vinay, Mona Mohammed, and Kanniyan Binub. "Evaluation of effect of absorbable gelatin sponge (gel foam) nasal packing in external dacrocystorhinostomy." Indian Journal of Clinical and Experimental Ophthalmology 9, no. 2 (2023): 221–25. http://dx.doi.org/10.18231/j.ijceo.2023.042.

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The success rate of external DCR has been reported to an exemplary level with variation regard to the surgeon’s skill, competence and experience. The relatively high success rates of external DCR does not detract from the limitations of the procedure. Intra operative difficulty and Post-operative morbidity have led to search for modifications in the technique. Gel foam helps to reduce bleeding in the post-operative period and improves the surgical outcome.The purpose of this study is to evaluate the effect absorbable gelatin sponge(gel foam) nasal packing in external dacryocystorhinostomy.Stud

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Kirsch, W. M., C. Cavallo, T. Anton, et al. "An Alternative System for Cerebrovascular Reconstructions: Non-Penetrating Arcuate-Legged Clips." Cardiovascular Surgery 9, no. 6 (2001): 531–39. http://dx.doi.org/10.1177/096721090100900603.

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Non-penetrating, arcuate-legged titanium clips (VCS®) have been utilized successfully over the past five years for a variety of cerebrovascular reconstructions. These applications, including both micro and macrovascular reconstructions, their clinical outcomes and technical considerations are described. Applications include patch angioplasty of cervical carotid endarterectomies, superficial temporal to middle cerebral artery ‘bypass’ procedures, Takayasu's arteritis and cavernous carotid reconstructions. The non-penetrating clip has proven to be a safe and reliable alternative to suture for th

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Akhtar, Shahzad, Tariq Mukhtar Farrani, Mukarram Hussain, Muhammad Yousaf, Ghazanfar Jabbar, and Talha Makshoof. "Comparison between the use of Titanium Clips and Monopolar Diathermy for Closure of the Mesoappendix in Laproscopic Appendectomy in terms of Operative Time and Cost." Pakistan Armed Forces Medical Journal 74, no. 3 (2024): 790–93. http://dx.doi.org/10.51253/pafmj.v74i3.9852.

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Objective: To compare the use of Titanium clips and Monopolar diathermy for laparoscopic appendectomy mesoappendix closure in terms of operative time and cost. Study Design: Quasi-experiment study. Place and Duration of Study: Department of Surgery, Combined Military Hospital, Nowshera Pakistan, from Jul 2021 to Jun 2022. Methodology: A total of 70 patients who were diagnosed with acute appendicitis and were admitted for laparoscopic appendectomy were randomly divided into two groups via the lottery method. In Group-A, the closure of the mesoappendix was done using Titanium clips, and in Group

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Jung, Kyu Hwa, and Won Lee. "Minilifting: Short-Scar Rhytidectomy with Thread Lifting." Archives of Plastic Surgery 51, no. 05 (2024): 459–65. http://dx.doi.org/10.1055/s-0044-1788907.

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AbstractFacelifting techniques have been developed over time to mask the aging process. However, conventional facelifts cause scarring. Because of patient demands, various noninvasive lifting techniques have been introduced, including absorbable thread lifting. Minilifting is known for its short-scar excision and is used to improve skin laxity and lifting using absorbable threads but the definition and operation techniques are not certain. In this article, we described the definition, development, and operative techniques used in minilifts. Minilifting procedures represent an added option for

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Giannotta, Steven L., and N. Scott Litofsky. "Reoperative management of intracranial aneurysms." Journal of Neurosurgery 83, no. 3 (1995): 387–93. http://dx.doi.org/10.3171/jns.1995.83.3.0387.

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✓ Nineteen patients underwent 20 operative procedures for the treatment of recurrent or residual aneurysms. There were 13 small, three large, and four giant lesions; with one exception, all were in the anterior circulation. Five individuals presented with recurrent subarachnoid hemorrhage, six were referred for symptoms of mass effect, and nine were known to have had inadequate treatment at the time of the initial operative procedure. The average time interval from initial treatment to either recurrent subarachnoid hemorrhage or compressive effects was 10.5 and 9.75 years, respectively. No dea

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Durmaz, A., A. Kilic, R. Gumral, U. Yildizoglu, and B. Polat. "The effects of different suture materials in the nasal cavity." Journal of Laryngology & Otology 130, no. 4 (2016): 352–56. http://dx.doi.org/10.1017/s002221511600027x.

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AbstractObjective:To investigate the effects of different suture materials in the nasal cavity on encrustation and micro-organism colonisation.Methods:Four different suture materials were used to suture the nasal septum. The effects of suture materials on intranasal encrustation were evaluated with anterior rhinoscopy. The sutures were removed and evaluated in terms of micro-organism colonisation on the 7th and 21st post-operative days.Results:Monofilament sutures were found to cause less encrustation and micro-organism colonisation. There was increased late-stage encrustation if an absorbable

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Rasul, Shahid, Hassan Ahmed, Sanum Ali, et al. "Post-operative Pain Outcomes of Laparoscopic Ventral Hernia Repair (LVHR): An eight-year experience." Journal of Bahria University Medical and Dental College 11, no. 4 (2021): 148–52. http://dx.doi.org/10.51985/jbumdc2021048.

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Objective:To evaluate post-operative pain, recovery time and standard of living in patients undergoing LVHR in detail. Study design and Setting: This prospective cohort study was conducted at a tertiary care hospital of Karachi, Pakistan,after getting approval from the “National Medical Centre EthicalReview Board”, from January 2011 to December 2019, Methodology: Total n= 577 patients undergoing standard LVHR procedure (defect closed with non-absorbable monofilamentsuture, reinforced with intra-abdominal dual layer mesh, anchored with non-absorbable tacks & sutures). Patient demographics,p

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Subhadip Sarkar. "A comparative study of mesh fixation with non-absorbable versus delayed-absorbable monofilament suture in Lichtenstein tension-free hernioplasty in a medical college." Asian Journal of Medical Sciences 13, no. 7 (2022): 203–7. http://dx.doi.org/10.3126/ajms.v13i7.43650.

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Background: Mesh placement and subsequent fixation are an important aspect of hernia surgery. Different methods are available in modern days for fixing the mesh in inguinal hernioplasty surgery in both open and laparoscopic approach. However, sutures are still preferred by most of the surgeons because of its easy availability and cost- effectiveness. Conventionally, non-absorbable sutures are used to fix mesh. Aims and Objectives: The objective of our present study is to compare the post-surgical outcomes of mesh fixation with monofilament non-absorbable sutures versus monofilament delayed abs

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Bogomolov, O. A., T. V. Sukhanova, M. I. Shkolnik, A. Yu Kneev, A. L. Dolbov, and М. V. Artemov. "Migration of Hem-o-Lok clips into the bladder after radical prostatectomy – own experience." Perm Medical Journal 41, no. 2 (2024): 130–35. http://dx.doi.org/10.17816/pmj412130-135.

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Non-absorbable polymer Hem-o-Lok clips are widely used during nerve-sparing radical prostatectomy for clipping of the neurovascular bundle, as well as for rapid knotless fixation of sutures during the formation of urethrovesical anastomosis. At the same time, cases of migration of Hem-o-Lok clips into the bladder at various times after RP have been described. Our retrospective analysis of 1321 patients, who underwent laparoscopic radical prostatectomy at A.M. Granov Russian Scientific Center of Radiology and Surgical Technologies from 2014 to 2023, revealed 3 cases of Hem-o-Lok clip intravesic

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Lasheen, Omar, Mohamed Yehia, Ayman Salah, Sameh Mikhail, and Ahmed Hassan. "Towards cost saving in surgery without compromising safety: stapleless laparoscopic splenectomy in a developing country—a prospective cohort study." BMJ Open Quality 12, no. 1 (2023): e002068. http://dx.doi.org/10.1136/bmjoq-2022-002068.

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BackgroundMinimally invasive surgery has been steadily growing in popularity. Control of splenic hilar vessels is the most delicate step during laparoscopic splenectomy (LS). In the earlier eras of LS, hilar vessels were controlled using clips and/or ligation. Laparoscopic staples were later introduced and have arguably led to an increase in popularity of LS. They do not abolish potential complications of splenectomy and theoretically represent an added operative cost.In this study, we aimed to assess the safety and efficacy of stapleless LS (using knots, haemostatic devices and clips) compare

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Attri, Anshu, Parul Sharma, UK Chandel, Bhavash Devkaran, Ashok Kaundal, and Kartik Syal. "Advantages of Two Clips Laparoscopic Cholecystectomy (TCLC) and Conventional Laparoscopic Cholecystectomy (CLC): A Comparative Study." International Academic Research Journal of Surgery 2, no. 02 (2022): 6–10. http://dx.doi.org/10.47310/iarjs.2022.v02i02.002.

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Background: Laparoscopic cholecystectomy (LC) is the most commonly done, minimally invasive surgical procedure. Advanced energy sources, such as the harmonic scalpel, though expensive, may provide the advantage of shorter operating time by reducing smoke, bloodless dissection in the GB bed, lower risk of bleeding from the cystic artery due to secure vessel sealing, and avoiding the use of a larger number of titanium clips. Thus, a study was undertaken to compare the advantages of Two Clips Laparoscopic Cholecystectomy (TCLC) over conventional laparoscopic cholecystectomy (CLC). Material and Me

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D., Wasim M., Uday Muddebihal, U. V. Rao, and Praveen J. "Laparoscopic ventral hernia mesh repair without the use of transfascial sutures: our experience." International Surgery Journal 5, no. 7 (2018): 2417. http://dx.doi.org/10.18203/2349-2902.isj20182437.

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Background: Repair of the abdominal wall defects can be quite challenging even for most experienced surgeon under best of conditions. In the laparoscopic method there have been many modifications with regard to the type of mesh and methods of fixation. The aim of this study was to identify immediate post-operative pain and the long-term outcomes of laparoscopic ventral hernia mesh repair without the use of transfascial sutures to fix the mesh.Methods: A total of hundred (n=100) patients underwent Laparoscopic Ventral Hernia Mesh Repair by our surgical unit between January 2011 and December 201

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Ronak, A. Rathod, V. Shah Hardik, R. Suthar Ketan, and K. Baria Bhavin. "Efficacy of Partially Absorbable versus Non-Absorbable Mesh in Laparoscopic Inguinal Hernia Repair: A Comparative Study." International Journal of Pharmaceutical and Clinical Research 16, no. 9 (2024): 393–97. https://doi.org/10.5281/zenodo.13903627.

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<strong>Introduction: </strong>The selection of mesh material is a critical factor influencing patient outcomes in hernia repair, potentially outweighing the impact of the surgical technique employed. Research has compared polypropylene mesh with modified composite mesh (a combination of polypropylene and polyglactin), showing that composite mesh results in fewer foreign body reactions, reduced post-operative complications, and improved long-term quality of life. This study aimed to evaluate and compare the early outcomes of non-absorbable polypropylene mesh versus partially absorbable co

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Mohammad Osama, Sarfaraz Khan, and Nawazish Ali. "Laparoscopic surgery; Stepping into a clip-less cholecystectomy era." Journal of the Pakistan Medical Association 75, no. 07 (2025): 1175–76. https://doi.org/10.47391/jpma.22656.

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Dear Editor, The introduction of laparoscopy to the surgical art is not new. Over the past few decades, operative laparoscopy has experienced remarkable advancements, enabling numerous complex procedures to be performed through this minimally invasive approach. Following its initial challenges, laparoscopic surgery has matured, evolving into a phase of gradual refinement, making it challenging to predict its future trajectory and long-term outcomes. However, in a resource limited country like Pakistan, the full implementation and acceptance of this new surgical technique comparable to the conv

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Ikeler, Jordan, Katy Parker, Joshua Simson, and Matthew Wells. "Critical Analysis of Varying Sutures and Impact on Cost Efficacy in Orthopaedic Surgery." Journal of Orthopaedic Business 2, no. 2 (2022): 13–18. http://dx.doi.org/10.55576/job.v2i2.16.

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Objectives: Describe basic differences in sutures and the overall impact on cost efficacy. Design: Review. Intervention: Suture choice. Main Outcome measurements: Cost. Results and Conclusions: It is important for a surgeon to consider the advantages of various sutures and needles to ensure proper primary approximation, prevent infection or dehiscence, and close in a time-efficient manner. Modern-day sutures can be divided into three main categories: natural vs synthetic, monofilament vs multifilament, and non-absorbable vs absorbable. A newer monofilament barbed suture has been given increasi

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Rajachandrasekar, Murugesan, Joseph Rosemary Livinjose, Raju Prabhakaran, and Chidambaranathan Sugumar. "Impact of single layer reconstruction following surgery for chronic calcific pancreatitis: a retrospective analytical study." International Surgery Journal 12, no. 1 (2024): 47–54. https://doi.org/10.18203/2349-2902.isj20243984.

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Background: Surgery is an effective treatment for chronic calcific pancreatitis (CCP), addressing intractable pain and complications. While many studies predict outcomes of various surgical procedures, few focus on the impact of reconstruction type. This retrospective study analyzed the outcomes of single-layer pancreaticojejunostomy (PJ) following surgery for CCP. Aim was to evaluate outcomes of single-layer PJ in CCP patients, focusing on complications, pain relief, exocrine insufficiency, and endocrine dysfunction, compared with historical controls. Methods: The study included 250 CCP patie

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Soomro, Aftab Ahmed, Shiza Jan Morai, Naina Shakeel, Juwereya Memon, Sohail Yuosif, and Rajab Gharno. "Ligature Technique: A Safe Outcome in Laparoscopic Cholecystectomy." Pakistan Journal of Medical and Health Sciences 16, no. 1 (2022): 1038–40. http://dx.doi.org/10.53350/pjmhs221611038.

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Objective: To compare Extracorporeal Sliding knot (ECK) and clip ligation to ligation of the cystic duct in laparoscopic cholecystectomy. Patients and Methods: This study was conducted as prospective randomized study in Jeddah National Hospital in Jeddah Saudi Arabia, in surgical department carried out from June 2018 to June 2019. In the study 100 patients were selected and divided into two groups, in which we compared outcomes of patients in whom Cystic Duct Occlusion was done by clips (Group I n=60) and other group Ligatures endoloop knotting (Group II n=40). During laparoscopic cholecystect

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Sindhal, Minesh L., D. B. Choksi, Arnab Sarkar, and Akshay Sutariya. "Self-gripping polyester mesh with absorbable polylactic acid microhook versus polypropylene mesh for open inguinal hernioplasty." International Surgery Journal 5, no. 10 (2018): 3361. http://dx.doi.org/10.18203/2349-2902.isj20184089.

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Background: Inguinal hernias are frequently encountered disease. The hernia surgery has gone through a major evolution from Bassini’s heralding of the modern era to today’s mesh-based open and laparoscopic repair. The Purpose of this study is to compare clinical outcomes following sutureless repair with Self gripping polyester mesh incorporating absorbable polylactic acid microhook (Progrip) to traditional Lichtenstein repair with polypropylene mesh secured with sutures for open inguinal hernioplasty.Methods: 60 patients with diagnosis of inguinal hernia underwent open hernioplasty, after bein

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RAMOS, Almino Cardoso, Manoela Galvão RAMOS, Manoel dos Passos GALVÃO-NETO, Josemberg MARINS, Eduardo Lemos de Souza BASTOS, and Natan ZUNDEL. "Total clipless cholecystectomy by means of harmonic sealing." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 28, no. 1 (2015): 53–56. http://dx.doi.org/10.1590/s0102-67202015000100014.

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BACKGROUND: In traditional laparoscopic cholecistectomy, the cystic duct and artery are commonly closed by metallic clips just before their division. Although the placement of these clips for occluding cystic artery and duct can be considered safe, biliary leaks and bleeding may occur especially by its dislodgement. AIM: To report a prospective case-series in total clipless cholecystectomy by means of harmonic shears for closure and division of the artery and cystic duct as well removal of the gallbladder from the liver. METHODS: Was evaluate a series of 125 patients who underwent laparoscopic

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Leary, Jessica, Timothy Lynskey, and Andrew Muller. "SUTURE CHOICE IN CARPAL TUNNEL SURGERY: A RANDOMIZED CONTROLLED TRIAL." Orthopaedic Proceedings 106-B, SUPP_8 (2024): 23. http://dx.doi.org/10.1302/1358-992x.2024.8.023.

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ObjectiveCarpal tunnel release surgery is a commonly performed procedure for alleviating symptoms of median nerve compression and restoring hand function. With pressure on theatre time these procedures are now commonly performed in a step-down out-patient facility under local anaesthetic. The choice of suture for skin closure in this procedure can impact the quality of wound healing, patient outcomes and the follow-up required however the question of the best type of suture remains unanswered. The purpose of this study was to compare the outcomes of absorbable and non-absorbable sutures using

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Baruah, Alfred, Dhirendra Nath Choudhury, and Kamal Krishna Patowary. "A comparison of extra-mucosal single layer interrupted repair vs conventional double layer repair of intestinal anastomosis: a hospital-based study." International Journal of Research in Medical Sciences 12, no. 12 (2024): 4653–57. https://doi.org/10.18203/2320-6012.ijrms20243722.

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Background: Intestinal anastomosis is a critical surgical technique used to resect and reconnect segments of the gastrointestinal tract. Traditional double-layered techniques using both absorbable and non-absorbable sutures have been widely used. However, single-layer anastomosis is gaining interest due to its simplicity, cost-effectiveness, and reduced operating time. This study aims to compare the outcomes between extra-mucosal single-layer interrupted repair and conventional double-layer repair. Methods: A prospective, randomized controlled study was conducted over six months with 42 patien

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Pawar, Tejaswini Murari, Ravikiran Hosur Ramamurthy, and Shashirekha Chikkavenkataswamy Anjaneyulu. "Single Layer Versus Double Layer Anastomosis of Small Intestine – A Comparative Study from Karnataka, India." Journal of Evolution of Medical and Dental Sciences 10, no. 30 (2021): 2300–2304. http://dx.doi.org/10.14260/jemds/2021/470.

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BACKGROUND Intestinal anastomosis is an operative procedure that is of importance in the practice of surgery. It is a very commonly performed technique in today’s surgical era. We wanted to study the postoperative complications like anastomotic leak and abscess formation and duration of hospital stay in single layer and double layer anastomosis and compare the same. METHODS In our prospective observational study, 80 patients were reviewed and were divided into 2 groups. Cases were allotted to either group based on the odd even method requiring single- and double-layer anastomosis, odd being si

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Tamini, Nicolo, Marco Cereda, Giulia Capelli, Alessandro Giani, and Luca Gianotti. "Searching for the safest abdominal closure technique after emergency laparotomy for Hinchey III and IV peritonitis." International Surgery Journal 4, no. 8 (2017): 2534. http://dx.doi.org/10.18203/2349-2902.isj20173388.

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Background: The optimal strategy for abdominal wall closure has been an ongoing issue of debate and convincing evidence is still lacking. The INLINE systematic review and meta-analysis published on annals of surgery 2010 suggested that a running suture with a slowly absorbable suture material was the gold standard technique for abdominal wall closure after elective surgery, while there’s no general agreement in the emergency setting.Methods: Retrospective study regarding patients who underwent emergency surgery for a generalized peritonitis due to colonic perforation from 2002 to 2014 at San G

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Sayak Roy, Kanchan Kundu, Susavan Das, and Shib Shankar Kuiri. "Comparative study between continuous and interrupted suturing for rectus sheath closure in exploratory laparotomy." Asian Journal of Medical Sciences 13, no. 5 (2022): 177–82. http://dx.doi.org/10.3126/ajms.v13i5.42155.

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Background: Exploratory laparotomy is a major surgical procedure. Midline laparotomy is the most common technique of opening the abdomen as it is simple, provides adequate exposure to all four quadrants, and affords quick exposure with minimal blood loss. Laparotomy wounds have been closed in various ways in terms of continuous versus interrupted closure, single layer versus mass closure, and absorbable versus non-absorbable sutures. Aims and Objectives: The aim of the study was to find out the technique of rectus sheath closure in patients undergoing exploratory laparotomy that can reduce the

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Öz, Bahadır, Ertan Emek, Muhammet Akyüz, et al. "Laparoscopic Appendectomy Using Hem-o-lok Polymer Clips: A Single-Center Experience." International Surgery 102, no. 7-8 (2017): 334–39. http://dx.doi.org/10.9738/intsurg-d-14-00270.1.

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Although the surgical technique of laparoscopic appendectomy (LA) stump has been well understood, there are many alternative techniques in relation to torocar positioning and closure of appendicular stump. In recent times, Hem-o-lok polymer clips (HOLP) was implemented in several studies in the closure of appendicular stump because of its lower cost and easy implementation. The purpose of this study to investigate the safety, usefulness, and cost effectiveness of HOLP for the closure appendecular stumps in LA. The study was carried out between December 2011 and December 2013. Patients with acu

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Currow, C., K. Patel, A. Askari, M. Rabie, M. Aly, and M. Aker. "Current technical surgical practice of emergency appendicectomy: a cross-sectional survey of surgical registrars in the UK." Annals of The Royal College of Surgeons of England 102, no. 8 (2020): 606–10. http://dx.doi.org/10.1308/rcsann.2020.0123.

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Introduction Appendicectomy remains one of the most commonly performed procedures in general surgery. The aim of this study was to explore variation in operative techniques of an appendicectomy among surgical registrars in England. Materials and methods An anonymised survey was sent out to surgical registrars in the UK via email and social media. Subgroup analyses were performed comparing respondents based on their level of seniority and subspecialty background. Results A total of 168 respondents completed the survey, of whom 77.4% (130/168) were specialty trainees years 3–8 and 44.6% (75/168)

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Bhuyian, Md Akbar Hossain, Shahanara Chowdhury, and Shafiqul Hoque. "Evaluation of the Outcome of IRPG 910 and Polypropylene in Terms of Cosmesis and Cost for Skin Closure in Cleft lip Surgery." Journal of Paediatric Surgeons of Bangladesh 1, no. 1 (2014): 25–29. http://dx.doi.org/10.3329/jpsb.v1i1.19451.

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This prospective, comparative and interventional study was conducted in Bangabandu Sheikh Mujib medical university in Dhaka and Center Point Hospital pvt .ltd in chittagong to evaluate advantage of using readily absorbable synthetic suture material IRPG 910 over non absorbable polypropylene in repair of cleft lip between time period of January 2003 to May 2004 in fulfillment of final part MS degree in pediatric surgery. A total of 26 patients with cleft lip (with or without cleft palate) who underwent operative procedure were included in this study. All the patients between the age of 3 months

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Sherif Mohammed Farahat, Akram Elbatarny, Khalid Mohamed. Elshimy, Sherif Medhat, Khalid Ahmed Ismail, and Mohamed Ahmed Arafa. "Safe staple less laparoscopic splenectomy; use of Hem-o-Lok to control the splenic hilum." Journal of the Pakistan Medical Association 73, no. 4 (2023): S228—S232. http://dx.doi.org/10.47391/jpma.egy-s4-45.

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Objective: To evaluate Hem-o-Lok polymer clips’ feasibility, safety and cost-effectiveness in controlling the splenic pedicle during paediatric laparoscopic splenectomy.Method: The prospective study was conducted from May 2019 to December 2021 at Kafrelsheikh University Hospital, Egypt, and comprised children of either gender aged <18 years who had benign haematological diseases and were indicated for laparoscopic splenectomy. During the procedure, Hem-o-Lok clips were used for controlling the splenic pedicle. Patients were encouraged to ambulate the same day, and the drain was removed 24ho

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Johnson, Jared, Houmehr Hojjat, Michael T. Chung, et al. "Functional Reconstruction of Forehead and Midface Deficits Using the Endoscopic Technique and Bio-Absorbable Implants." Plastic Surgery 28, no. 3 (2020): 142–47. http://dx.doi.org/10.1177/2292550320903401.

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Objectives: Functional deficits of the forehead and midface can pose significant problems for patients varying from mild asymmetry to various degrees of functional impairment including total paralysis. Our objectives were to analyse the use of bio-absorbable implants to reconstruct forehead and midface deficits, all of which were for functional (noncosmetic) reasons. Methods: This study was a retrospective case series between 2008 and 2018. Institutional review board approval was obtained from the Beaumont Health Human Investigation Committee. Surgeries were performed at a tertiary care centre

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Lee, SY, SJ Park, SH Seok, YK Kim, HC Lee, and SC Yeon. "Thoracoscopic-assisted lung lobectomy using hem-o-lok clips in a dog with lung lobe torsion: a case report." Veterinární Medicína 59, No. 6 (2014): 315–18. http://dx.doi.org/10.17221/7576-vetmed.

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An eleven-year-old, 3-kg, intact female Maltese was presented for depression, anorexia and dyspnoea. Thoracic radiographs showed right-side pleural effusion, a vesicular emphysema pattern and consolidation of the right middle lung lobe. A presumptive diagnosis of lung lobe torsion (LLT) in the right middle lobe was made using a computed tomography scan. Thoracoscopic exploration was performed without one-lung ventilation in the right hemithorax. Pleural fluid and engorgement of the torsed lung lobe were observed. A total lung lobectomy of the right middle lung lobe was performed with a thoraco

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Bozdar, Hameed-Ur-Rahman, Sabahat Fatima, I. Ullah Memon, W. Sarwar Bhatti, N. Karim Bhatti, and Imran Khan Memon. "Experience of Management of Vesicovaginal Fistula in Khairpur Medical College Hospital Khairpur." Pakistan Journal of Medical and Health Sciences 15, no. 7 (2021): 1537–39. http://dx.doi.org/10.53350/pjmhs211571537.

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Aim: To report the experience of vesicovaginal fistula repair among patients attending Khairpur Medical College. Study design: Retrospective cross-sectional study Place and duration of study: Department of Urology, Khairpur Medical College Khairpur Mir’s and Department of Obstetrics & Gynaecology, GMMC, Sukkur from 1st February 2018 to 20th November 2020. Methodology: Thirty five known case of vesicovaginal fistula presenting with continuous leakage of urine were consecutively included. Patients with failed previous repair were also included. After pre-operative work-up, fistula repair was

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Chugh, A. Jessey, Jonathan R. Pace, Justin Singer, et al. "Use of a surgical rehearsal platform and improvement in aneurysm clipping measures: results of a prospective, randomized trial." Journal of Neurosurgery 126, no. 3 (2017): 838–44. http://dx.doi.org/10.3171/2016.1.jns152576.

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OBJECTIVE The field of neurosurgery is constantly undergoing improvements and advances, both in technique and technology. Cerebrovascular neurosurgery is no exception, with endovascular treatments changing the treatment paradigm. Clipping of aneurysms is still necessary, however, and advances are still being made to improve patient outcomes within the microsurgical treatment of aneurysms. Surgical rehearsal platforms are surgical simulators that offer the opportunity to rehearse a procedure prior to entering the operative suite. This study is designed to determine whether use of a surgical reh

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SABBAG, Carlos, and Ana BLITZCKOW. "ALTERNATIVE TECHNIQUE FOR CHOLECYSTECTOMY COMPARABLE TO SINGLE PORT." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 30, no. 1 (2017): 53–55. http://dx.doi.org/10.1590/0102-6720201700010015.

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ABSTRACT Background: With the advancement of laparoscopic surgery, new techniques have been proposed and disseminated in order to reduce the surgical aggression and get better cosmetic results. Aim: To present alternative technique for videocholecystectomy comparable to single port technique using conventional material for laparoscopic surgery. Method: Introduction of laparoscopic devices using two incisions; gallbladder traction with thread, exposition of Calot triangle, and ligature of cystic pedicle with polymer clips. Results: Nine operations were carried out with this method, without comp

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Mattox, Shayna L., Kimberly J. Hammersmith, Jin Peng, Paul S. Casamassimo, and Janice A. Townsend. "Absorbable Hemostatic Pack Effect After Primary Incisor Extraction: A Pilot Study and Introduction of a Novel Scale to Assess Post-Operative Bleeding." Journal of Clinical Pediatric Dentistry 45, no. 2 (2021): 67–73. http://dx.doi.org/10.17796/1053-4625-45.2.1.

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Objectives: This pilot study compared hemostatic pack (HP) application with no intervention following extraction of maxillary primary incisors in healthy children for effect on bleeding time and influence of patient or tooth variables utilizing a novel scale for assessment of bleeding following extraction. Study Design: A novel scale was created to assess bleeding after extraction. This scale was utilized in a randomized, split mouth study of healthy children ages 2–7 years old requiring extraction of at least 2 primary maxillary incisors under general anesthesia. One extraction site was rando

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Zanella, Simone, Enrico Lauro, Francesco Franceschi, et al. "Laparoscopic Incisional and Ventral Hernia Repair with Absorbable Tacks in a Long Term Follow-up: A Retrospective Control Study." Reviews on Recent Clinical Trials 14, no. 2 (2019): 141–46. http://dx.doi.org/10.2174/1574887114666190201111332.

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Background: Laparoscopic Incisional and Ventral Hernia Repair (LIVHR) is a safe and worldwide accepted procedure performed using absorbable tacks. The aim of the study was to evaluate recurrence rate in a long term follow-up and whether the results of laparoscopic IVH repair in the elderly (≥65 years old) are different with respect to results obtained in younger patients. Methods: One hundred and twenty-nine consecutive patients (74 women and 55 men, median age 67 years, range = 30-87 years) with ventral (N = 42, 32.5%) or post incisional (N = 87, 67.5%) hernia were enrolled in the study. Pati

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Poon, Samuel Ho Ting, Sui Yuen Law, and Alex Ting Yeung Lai. "Clips closure versus endoloop ligation in laparoscopic appendectomy: a systematic review and meta-analysis of comparative studies." Annals of Medicine & Surgery 85, no. 10 (2023): 5011–21. http://dx.doi.org/10.1097/ms9.0000000000001260.

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Introduction: Appendiceal stump closure (ASC) is a key step in performing laparoscopic appendicectomy. Currently, there is no gold standard method to achieve this goal. The ideal method should be safe, easily available, and have a short learning curve. Out of all those appendiceal stump closure methods, the use of hem-o-Lok demonstrates its feasibility in replacing the traditionally used endoloop. In this systematic review and meta-analysis, the authors aim to review the currently available evidence addressing the topic of interest. Method: The PubMed and Embase databases were searched with th

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Magdi Muhammad, Ibrahim Ahmad. "Pectus Excavatum: A Comparison of the Ravitch Repair with the Nuss Thoracoscopic Technique with a Standard Metal Bar or an Absorbable Bar." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 8, no. 3 (2013): 206–10. http://dx.doi.org/10.1097/imi.0b013e3182a3659c.

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Objective Although pectus excavatum repair has evolved to a minimally invasive technique in prepubescent patients, the best approach in adults is less clearly understood. The aim of this study was to identify the preoperative characteristics, operative variables, and postoperative outcomes in adult patients with pectus excavatum undergoing thoracoscopic repair using different bar stabilizers compared with the open surgical repair. Methods We conducted a prospective study between July 2009 and July 2012 in a single institution. Thirty-one patients (26 men and 5 women) aged 18 to 35 years were r

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Albert, Sebastien, Charles Guedon, Caroline Halimi, Jean Pierre Cristofari, and Beatrix Barry. "The Use of Harmonic Scalpel for Free Flap Dissection in Head and Neck Reconstructive Surgery." Plastic Surgery International 2012 (May 20, 2012): 1–4. http://dx.doi.org/10.1155/2012/302921.

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Surgeons conventionally use electrocautery dissection and surgical clip appliers to harvest free flaps. The ultrasonic Harmonic Scalpel is a new surgical instrument that provides high-quality dissection and hemostasis and minimizes tissue injury. The aim of this study was to evaluate the effectiveness and advantages of the ultrasonic Harmonic Scalpel compared to conventional surgical instruments in free flap surgery. This prospective study included 20 patients who underwent head and neck reconstructive surgery between March 2009 and May 2010. A forearm free flap was used for reconstruction in

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Cook, Richard C., L. Wiley Nifong, Jacob E. Enterkin, et al. "Significant reduction in annuloplasty operative time with the use of nitinol clips in robotically assisted mitral valve repair." Journal of Thoracic and Cardiovascular Surgery 133, no. 5 (2007): 1264–67. http://dx.doi.org/10.1016/j.jtcvs.2006.10.079.

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He, Kevin D., George N. Rymarczuk, Shannon W. Clark, John L. Gillick, Payman Vahedi, and Ashwini D. Sharan. "A Novel Technique for Prevention of Subarachnoid-Pleural Fistula After Incidental Durotomy During Transthoracic Spinal Surgery." Operative Neurosurgery 16, no. 4 (2018): 451–54. http://dx.doi.org/10.1093/ons/opy170.

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Abstract BACKGROUND Subarachnoid-pleural fistulas (SPFs) are rare but significant complications of transthoracic spinal surgery. Whether noted intraoperatively or in the postoperative period, SPF requires implementation of aggressive management, with consideration given to direct surgical repair. Additionally, the physical constraints of the thoracic cavity often hinder direct SPF repair. OBJECTIVE To present a novel operative technique that can be used to easily and quickly address incidental durotomy incurred during transthoracic spinal surgery while working within the confines of the thorax

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