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1

The influence of absorbable subcuticular staples, continuous subcuticular absorbable suture, and percutaneous metal skin staples on infection in contaminated wounds.  

PubMed

Wound infection is a threatening, troublesome, and costly complication contributing to increased mortality and morbidity. The methods and materials used to close a wound significantly influence the quality of the repair process and the risk of surgical site infection. Six pigs were used to evaluate the influence of four separate skin-closure modalities on the potentiation of infection in contaminated wounds. Full-thickness skin wounds on the abdomen were contaminated with S. aureus and then closed with one of four devices: a novel absorbable staple (InsorbTM) placed in the subcuticular tissue; a braided absorbable suture (VicrylTM); a monofilament absorbable suture (MonocrylTM); percutaneous metal staples. Wound infection was assessed 7 days after closure by clinical signs and quantitative bacterial swabs. InsorbTM staples had significantly lower infection rates than continuous VicrylTM (39% vs. 100%, p=0.002) or MonocrylTM suture (39% vs. 89%, p=0.014). The InsorbTM subcuticular staple and the metal percutaneous skin staple were statistically equivalent in wound infection rate and parameters of inflammation. The combined data for both interrupted staple modalities documented less inflammation compared to the combined data for continuous sutures. These lower levels of inflammatory metrics were statistically significant for edema (p=0.018), gauze exudate observed (p=0.007) and purulent exudate in wound (p<0.0001). In conclusion, InsorbTM staples were shown to be an acceptable choice for the closure of contaminated wounds because they had a significantly lower incidence of wound infection and inflammation when compared to continuous intradermal suture. PMID:23428250

Pineros-Fernandez, Angela; Salopek, Lisa S; Rodeheaver, Pamela F; Rodeheaver, George

2012-01-01

2

21 CFR 878.4830 - Absorbable surgical gut suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4830 Absorbable surgical gut suture. (a) Identification. An...

2011-04-01

3

21 CFR 878.4830 - Absorbable surgical gut suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4830 Absorbable surgical gut suture. (a) Identification. An...

2012-04-01

4

21 CFR 878.4830 - Absorbable surgical gut suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4830 Absorbable surgical gut suture. (a) Identification. An...

2010-04-01

5

21 CFR 878.4830 - Absorbable surgical gut suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4830 Absorbable surgical gut suture. (a) Identification. An...

2014-04-01

6

21 CFR 878.4830 - Absorbable surgical gut suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4830 Absorbable surgical gut suture. (a) Identification. An...

2013-04-01

7

Assessment of Pain and Quality of Life in Lichtenstein Hernia Repair Using a New Monofilament PTFE Mesh: Comparison of Suture vs. Fibrin-Sealant Mesh Fixation  

PubMed Central

Background: Inguinal hernia repair is one of the most common operations in general surgery. The Lichtenstein tension-free operation has become the gold standard in open inguinal hernia repair. Despite the low recurrence rates, pain and discomfort remain a problem for a large number of patients. The aim of this study was to compare suture fixation vs. fibrin sealing by using a new monofilament PTFE mesh, i.e., the Infinit® mesh by W. L. Gore & Associates. Methods: This study was designed as a controlled prospective single-center two-cohort study. A total of 38 patients were enrolled and operated in Lichtenstein technique either standard suture mesh fixation or fibrin-sealant mesh fixation were used as described in the TIMELI trial. Primary outcome parameters were postoperative complications with the new mesh (i.e., seroma, infection), pain, and quality of life evaluated by the VAS and the SF-36 questionnaire. Secondary outcome was recurrence assessed by ultrasound and physical examination. Follow-up time was 1?year. Results: Significantly, less postoperative pain was reported in the fibrin-sealant group compared to the suture group at 6?weeks (P?=?0.035), 6?months (P?=?0.023), and 1 year (P?=?0.011) postoperatively. Additionally, trends toward a higher postoperative quality of life, a faster surgical procedure, and a shorter hospital stay were seen in the fibrin-sealant group. Conclusion: Fibrin-sealant mesh fixation in Lichtenstein hernioplasty effectively reduces acute and chronic postoperative pain. Monofilament, macro-porous, knitted PTFE meshes seem to be a practicable alternative to commonly used polypropylene meshes in open inguinal hernia repair. PMID:25593969

Fortelny, René H.; Petter-Puchner, Alexander H.; Redl, Heinz; May, Christopher; Pospischil, Wolfgang; Glaser, Karl

2014-01-01

8

No-mesh Inguinal Hernia Repair with Continuous Absorbable Sutures: A Dream or Reality? (A Study of 229 Patients)  

PubMed Central

Background/Aim The author has published results from two series based on his new technique of inguinal hernia repair. Interrupted sutures with a nonabsorbable material were used for repairs in both theses series. The author now describes the results of repairs done with continuous absorbable sutures. Materials and Methods This is a prospective study of 229 patients having 256 hernias operated from December 2003 to December 2006. An undetached strip of the external oblique aponeurosis was sutured between the inguinal ligament and the muscle arch to form the new posterior wall. Continuous sutures were taken with absorbable suture material (Monofilament Polydioxanone Violet). Data of hospital stay, complications, ambulation, recurrences, and pain were recorded. Follow-up was done until June 2007. Results A total of 224 (97.8%) patients were ambulatory within 6-8 h (mean: 6.42 h) and they attained free ambulation within 18-24 h (mean: 19.26 h). A total of 222 (96.4%) patients returned to work within 6-14 days (mean: 8.62 days) and 209 (91.26%) patients had one-night stays in the hospital. A total of 216 (94.3%) patients had mild pain for 2 days. There were four minor complications, but no recurrence or incidence of chronic groin pain. Patients were followed up for a mean period of 24.28 months (range: 6-42 months). Conclusions The results of this study correlate well with the author's previous publications. Continuous suturing saves operative time and one packet of suture material. The dream of every surgeon to give recurrence-free inguinal hernia repair without leaving any foreign body inside the patient may well become a reality in future. PMID:19568520

Desarda, Mohan P.

2008-01-01

9

21 CFR 878.4493 - Absorbable poly(glycolide/l-lactide) surgical suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4493 Absorbable poly(glycolide/l -lactide) surgical suture. (a)...

2014-04-01

10

21 CFR 878.4493 - Absorbable poly(glycolide/l-lactide) surgical suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4493 Absorbable poly(glycolide/l -lactide) surgical suture. (a)...

2010-04-01

11

21 CFR 878.4493 - Absorbable poly(glycolide/l-lactide) surgical suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4493 Absorbable poly(glycolide/l -lactide) surgical suture. (a)...

2013-04-01

12

21 CFR 878.4493 - Absorbable poly(glycolide/l-lactide) surgical suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4493 Absorbable poly(glycolide/l -lactide) surgical suture. (a)...

2012-04-01

13

21 CFR 878.4493 - Absorbable poly(glycolide/l-lactide) surgical suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4493 Absorbable poly(glycolide/l -lactide) surgical suture. (a)...

2011-04-01

14

Evaluation of tensile strength of surgical synthetic absorbable suture materials: an in vitro study  

PubMed Central

Purpose The purpose of this study was to evaluate the tensile strength of surgical synthetic absorbable sutures over a period of 14 days under simulated oral conditions. Methods Three suture materials (polyglycolic acid [PGA], polyglactin [PG] 910, and poly (glycolide-co-?-caprolactone) [PGC]) were used in 4-0 and 5-0 gauges. 210 suture samples (35 of each material and gauge) were used. All of the samples were tested preimmersion and 1 hour and 1, 3, 7, 10, and 14 days postimmersion. The tensile strength of each suture material and gauge was assessed. The point of breakage and the resorption pattern of the sutures were also assessed. Results During the first 24 hours of immersion, all 4-0 and 5-0 samples of PGA, PG 910, and PGC maintained their initial tensile strength. At baseline (preimmersion), there was a statistically significant (P<0.001) difference in the tensile strengths between the 4-0 and 5-0 gauge of PGA, PG 910, and PGC. PGA 4-0 showed the highest tensile strength until day 10. At 7 days, all the 4-0 sutures of the three materials had maintained their tensile strength with PGA 4-0 having significantly greater (P=0.003) tensile strength compared to PG. Conclusions 4-0 sutures are stronger and have greater tensile strength than 5-0 sutures. The PGA 4-0 suture showed the highest tensile strength at the end of day 10. PMID:23837127

Ranganath, V.; Nichani, Ashish Sham

2013-01-01

15

Usefulness of Absorbable Sutures in Preventing Surgical Site Infection in Hepatectomy  

Microsoft Academic Search

We evaluated the usefulness of synthetic absorbable sutures (Vicryl) in preventing surgical site infection (SSI) after hepatectomy.\\u000a A rat model of 60% partial hepatectomy was used. Bleeding from the cut surface of the liver was controlled by using two suture\\u000a types: silk and Vicryl. In the Vicryl group, the lesser omentum was slightly adherent to the cut surface of the

Shinji Togo; Toru Kubota; Takuji Takahashi; Kenichi Yoshida; Kenichi Matsuo; Daisuke Morioka; Kuniya Tanaka; Hiroshi Shimada

2008-01-01

16

Quantitative evaluation of stiffness of commercial suture materials.  

PubMed

The bending stiffness of 22 commercial suture materials of varying size, chemical structure and physical form was quantitatively evaluated using a stiffness tester (Taber V-5, model 150B, Teledyne). The commercial sutures were Chromic catgut; Dexon (polyglycolic acid); Vicryl (polyglactin 910); PDS (polydioxanone); Maxon (polyglycolide-trimethylene carbonate); Silk (coated with silicone); Mersilene (polyester fiber); Tycron (polyester fiber); Ethibond (polyethylene terephthalate coated with polybutylene); Nurolon (nylon 66); Surgilon (nylon 66 coated with silicone); Ethilon (coated nylon 66), Prolene (polypropylene); Dermalene (polyethylene), and Gore-tex (polytetraflouroethylene). These are both natural and synthetic, absorbable and nonabsorbable and monofilament and multifilament sutures. All of these sutures were size 2-0, but Prolene sutures with sizes ranging from 1-0 to 9-0 were also tested to determine the effect of suture size on stiffness. The bending stiffness data obtained showed that a wide range of bending stiffness was observed among the 22 commercial sutures. The most flexible 2-0 suture was Gore-tex, followed by Dexon, Silk, Surgilon, Vicryl (uncoated), Tycron, Nurolon, Mersilene, Ethibond, Maxon, PDS, Ethilon, Prolene, Chromic catgut, coated Vicryl, and lastly, Dermalene. The large porous volume inherent in Gore-tex monofilament suture was the reason for its lowest flexural stiffness. Sutures with a braided structure were generally more flexible than those of a monofilament structure, irrespective of the chemical constituents. Coated sutures had significantly higher stiffness than the corresponding uncoated ones. This is particularly true when polymers rather than wax were used as the coating material. This increase in stiffness is attributable to the loss of mobility under bending force in the fibers and yarns that make up the sutures. An increase in the size of the suture significantly increased the stiffness, and the magnitude of increase depended on the chemical constituent of the suture. The flexural stiffness of sutures was also found to depend on the duration of bending in the test for stiffness. In general, monofilament sutures exhibited the largest time-dependent stiffness. This was most pronounced with the Gore-tex suture. Most braided sutures also showed less time-dependence in stiffness. Nylon sutures did not exhibit this time-dependent phenomenon regardless of physical form. PMID:2919353

Chu, C C; Kizil, Z

1989-03-01

17

Systematic review of absorbable vs non-absorbable sutures used for the closure of surgical incisions  

PubMed Central

AIM: To report a systematic review of published randomized controlled trials (RCTs) investigating the role of absorbable suture (AS) against non-AS (NAS) used for the closure of surgical incisions. METHODS: RCTs investigating the use of AS vs NAS for the closure of surgical incisions were statistically analysed based upon the principles of meta-analysis and the summated outcomes were represented as OR. RESULTS: The systematic search of medical literature yielded 10 RCTs on 1354 patients. Prevalence of wound infection (OR = 0.97; 95%CI: 0.56, 1.69; Z = 0.11; P = 0.92) and operative morbidity (P = 0.45) was comparable in both groups. Nonetheless, the use of AS lead to lower risk of wound break-down (OR = 0.12; 95%CI: 0.04, 0.39; Z = 3.52; P < 0.0004). CONCLUSION: This meta-analysis of 10 RCTs demonstrates that the use of AS is similar to NAS for skin closure for surgical site infection and other operative morbidities. AS do not increase the risk of skin wound dehiscence, rather lead to a reduced risk of wound dehiscence compared to NAS. PMID:25548609

Sajid, Muhammad S; McFall, Malcolm R; Whitehouse, Pauline A; Sains, Parv S

2014-01-01

18

21 CFR 878.4840 - Absorbable polydioxanone surgical suture.  

Code of Federal Regulations, 2013 CFR

...SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4840 Absorbable polydioxanone...cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and...

2013-04-01

19

21 CFR 878.4840 - Absorbable polydioxanone surgical suture.  

Code of Federal Regulations, 2012 CFR

...SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4840 Absorbable polydioxanone...cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and...

2012-04-01

20

21 CFR 878.4840 - Absorbable polydioxanone surgical suture.  

Code of Federal Regulations, 2014 CFR

...SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4840 Absorbable polydioxanone...cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and...

2014-04-01

21

21 CFR 878.4840 - Absorbable polydioxanone surgical suture.  

Code of Federal Regulations, 2011 CFR

...SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4840 Absorbable polydioxanone...cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and...

2011-04-01

22

A New Method for Hepatic Resection and Hemostasis: Absorbable Plaque and Suture  

PubMed Central

Objective: Blunt and penetrating hepatic injuries are conditions that are frequently encountered in emergency surgeries, and they involve high mortality morbidity. In the handling of such injuries, methods ranging from the application of simple cauterization and suturing for hemostasis to hepatic lobectomies, which might involve the removal of the greater part of the organ, have been defined. Due to the organ’s fragility and susceptibility to bleeding, elective hepatic resections necessitate both surgical experience and technological equipment. Therefore, the demand still exists for an affordable and easy-to-use-method that could be applied by all centers. Materials and Methods: To meet this demand, we have developed a method of hemorrhage control via sutures supported by absorbable plaques that provide effective compression and prevent the suture from cutting the tissue during the application of the sutures in the treatment of such fragile organs as the liver. In our method, we have achieved hemostasis by bilaterally compressing the tissue through strong ties after placing, on the part of the tissue on which the sutures are applied, absorbable and flexible plaques that prevent the suture from cutting the tissue during the application of a polyglactin suture to the solid organ. To prevent dislocation of the plaques, we have fastened the sutures by reeving them through the holes made in the plaques. Results: We have demonstrated the success and the practicality of our method by applying it on four pigs; we experimentally inflicted hepatic injuries on two pigs, and we performed resection on the other two pigs. The hepatic hemorrhages we developed in both of the animals were successfully restrained by the use of our method. On the other hand, two resections were performed on the right and left lobes of the other two animals. There were no hemorrhages during the surgery, and the procedure took 45 minutes in total. No postoperative complications occurred. While the liver function test values were high on the seventh day, due to the operation, they were observed to be normal on the thirtieth day. After the laparotomies, performed six months later, we observed that the plaques as well as the sutures were absorbed and that the injured tissues were completely healed. Additionally, it was observed during the pathological examination that the tissues beneath the area of application were healed through fibrosis and that the liver had no other pathologies. Conclusions: In conclusion, we believe that the method can be safely used in hepatic resections or traumatic hemorrhages in the proper locations.

Ozer, M. Tahir; Eryilmaz, Mehmet; Coskun, Kagan; Demirbas, Sezai; Uzar, A. Ihsan; Kozak, Orhan

2010-01-01

23

Male circumcision performed with 8-figure non-absorbable suture technique  

PubMed Central

Introduction: We analyze the outcome of circumcisions performed with 8-figure non-absorbable suture (8FNS) and assess the feasibility of using the technique in male circumcision. Methods: We randomly divided 317 patients who would undergo circumcision between February 2009 and January 2012 into 2 groups. Each group was subdivided into children (age range: 7 to 15 years) and adult (range: 16 to 85 years). In the experiment group (n =166), we used 8FNS and in control group (n = 151), commonly absorbable suture (CAS) were used for the circumcised wound closure. The results of 2 groups were compared. We also performed a cost analysis and a mean 6-month follow-up (range: 1–12). Chi-square and Student’s t-test were used in statistical analysis. Differences were considered significant (p < 0.05). Results: No patients were required to remove their sutures postoperatively. Among them, the sutures of the 8FNS for circumcision fell off spontaneously within 9 days (6.2 ± 1.57). There was no statistically significant difference between the 2 groups in surgical duration (16.2 ± 1.73 vs. 15.8 ± 2.01) and follow-up time (6.4 ± 3.82 vs. 6.2 ± 2.39). The overall complication rate of the 2 groups was 6.63% and 10.53% (p = 0.15), respectively. In addition, the complication rate among the adults was significantly lower in the 8FNS group compared to children (2.53% vs. 10.34%, p = 0.04). Also, the average cost (in US dollars) of 8FNS for circumcision was $20.7 ± $3.83 less than $35.8 ± $5.02 of CAS, which is a very significant difference (p < 0.0001). Conclusions: 8FNS for circumcision is feasible, easy, safe and cost-effective, especially for adult males. PMID:24678353

Xi, Ren Chong; Sheng, Yin Rui; Chen, Wang Hong; Sheng, Li; Gang, Ji Jing; Tong, Zhou; Shan, Zhang; Shuo, Yang Feng; Gang, Zhang Zhi; Sheng, Yu Guo; Ling, Xu Jun; Ying, Guo Hong; Dong, Liu Chun; Ju, Zhu Kun

2014-01-01

24

Performance Assessment of Suture Type, Water Temperature, and Surgeon Skill in Juvenile Chinook Salmon Surgically Implanted with Acoustic Transmitters  

SciTech Connect

This study assessed performance of seven suture types in subyearling Chinook salmon Oncorhynchus tshawytscha implanted with acoustic microtransmitters. Nonabsorbable (Ethilon) and absorbable (Monocryl) monofilament and nonabsorbable (Nurolon, silk) and absorbable (Vicryl, Vicryl Plus, Vicryl Rapide) braided sutures were used to close incisions in Chinook salmon. Monocryl exhibited greater suture retention than all other suture types 7 d after surgery. Both monofilament suture types were retained better than all braided suture types at 14 d. Incision openness and tag retention did not differ among suture types. Wound inflammation was similar for Ethilon, Monocryl, and Nurolon at 7 d. Wound ulceration was lower for Ethilon, Monocryl, and Nurolon than for all other suture types at 14 d post-surgery. Fish held in 12°C water had more desirable post-surgery healing characteristics (i.e., higher suture and tag retention and lower incision openness, wound inflammation, and ulceration) at 7 and 14 d after surgery than those held in 17°C water. The effect of surgeon was a significant predictor for all response variables at 7 d. This result emphasizes the importance of including surgeon as a variable in telemetry study analyses when multiple surgeons are used. Monocryl performed better with regard to post-surgery healing characteristics in the study fish. The overall results support the conclusion that Monocryl is the best suture material to close incisions created during surgical implantation of acoustic microtransmitters in subyearling Chinook salmon.

Deters, Katherine A.; Brown, Richard S.; Carter, Kathleen M.; Boyd, James W.; Eppard, M. B.; Seaburg, Adam

2010-05-01

25

21 CFR 878.4494 - Absorbable poly(hydroxybutyrate) surgical suture produced by recombinant DNA technology.  

Code of Federal Regulations, 2013 CFR

...surgical suture produced by recombinant DNA technology. 878.4494 Section 878...surgical suture produced by recombinant DNA technology. (a) Identification...produced by recombinant deoxyribonucleic acid (DNA) technology. The device is intended...

2013-04-01

26

21 CFR 878.4494 - Absorbable poly(hydroxybutyrate) surgical suture produced by recombinant DNA technology.  

Code of Federal Regulations, 2012 CFR

...surgical suture produced by recombinant DNA technology. 878.4494 Section 878...surgical suture produced by recombinant DNA technology. (a) Identification...produced by recombinant deoxyribonucleic acid (DNA) technology. The device is intended...

2012-04-01

27

21 CFR 878.4494 - Absorbable poly(hydroxybutyrate) surgical suture produced by recombinant DNA technology.  

Code of Federal Regulations, 2010 CFR

...surgical suture produced by recombinant DNA technology. 878.4494 Section 878...surgical suture produced by recombinant DNA technology. (a) Identification...produced by recombinant deoxyribonucleic acid (DNA) technology. The device is intended...

2010-04-01

28

21 CFR 878.4494 - Absorbable poly(hydroxybutyrate) surgical suture produced by recombinant DNA technology.  

Code of Federal Regulations, 2011 CFR

...surgical suture produced by recombinant DNA technology. 878.4494 Section 878...surgical suture produced by recombinant DNA technology. (a) Identification...produced by recombinant deoxyribonucleic acid (DNA) technology. The device is intended...

2011-04-01

29

21 CFR 878.4494 - Absorbable poly(hydroxybutyrate) surgical suture produced by recombinant DNA technology.  

Code of Federal Regulations, 2014 CFR

...surgical suture produced by recombinant DNA technology. 878.4494 Section 878...surgical suture produced by recombinant DNA technology. (a) Identification. ...produced by recombinant deoxyribonucleic acid (DNA) technology. The device is intended...

2014-04-01

30

Microbiology of Explanted Suture Segments from Infected and Noninfected Surgical Patients  

PubMed Central

Sutures under selective host/environmental factors can potentiate postoperative surgical site infection (SSI). The present investigation characterized microbial recovery and biofilm formation from explanted absorbable (AB) and nonabsorbable (NAB) sutures from infected and noninfected sites. AB and NAB sutures were harvested from noninfected (70.9%) and infected (29.1%) sites in 158 patients. At explantation, devices were sonicated and processed for qualitative/quantitative bacteriology; selective sutures were processed for scanning electron microscopy (SEM). Bacteria were recovered from 85 (53.8%) explanted sites; 39 sites were noninfected, and 46 were infected. Suture recovery ranged from 11.1 to 574.6 days postinsertion. A significant difference in mean microbial recovery between noninfected (1.2 isolates) and infected (2.7 isolates) devices (P < 0.05) was noted. Staphylococcus epidermidis, Staphylococcus aureus, coagulase-negative staphylococci (CNS), Peptostreptococcus spp., Bacteroides fragilis, Escherichia coli, Enterococcus spp., Pseudomonas aeruginosa, and Serratia spp. were recovered from infected devices, while commensal skin flora was recovered from noninfected devices. No significant difference in quantitative microbial recovery between infected monofilament and multifilament sutures was noted. Biofilm was present in 100% and 66.6% of infected and noninfected devices, respectively (P < 0.042). We conclude that both monofilament and braided sutures provide a hospitable surface for microbial adherence: (i) a significant difference in microbial recovery from infected and noninfected sutures was noted, (ii) infected sutures harbored a mixed flora, including multidrug-resistant health care-associated pathogens, and (iii) a significant difference in the presence or absence of a biofilm in infected versus noninfected explanted devices was noted. Further studies to document the benefit of focused risk reduction strategies to minimize suture contamination and biofilm formation postimplantation are warranted. PMID:23175247

Krepel, Candace J.; Marks, Richard M.; Rossi, Peter J.; Sanger, James; Goldblatt, Matthew; Graham, Mary Beth; Rothenburger, Stephen; Collier, John; Seabrook, Gary R.

2013-01-01

31

Comparison of Piezoresistive Monofilament Polymer Sensors  

PubMed Central

The development of flexible polymer monofilament fiber strain sensors have many applications in both wearable computing (clothing, gloves, etc.) and robotics design (large deformation control). For example, a high-stretch monofilament sensor could be integrated into robotic arm design, easily stretching over joints or along curved surfaces. As a monofilament, the sensor can be woven into or integrated with textiles for position or physiological monitoring, computer interface control, etc. Commercially available conductive polymer monofilament sensors were tested alongside monofilaments produced from carbon black (CB) mixed with a thermo-plastic elastomer (TPE) and extruded in different diameters. It was found that signal strength, drift, and precision characteristics were better with a 0.3 mm diameter CB/TPE monofilament than thick (?2 mm diameter) based on the same material or commercial monofilaments based on natural rubber or silicone elastomer (SE) matrices. PMID:24419161

Melnykowycz, Mark; Koll, Birgit; Scharf, Dagobert; Clemens, Frank

2014-01-01

32

Comparison of piezoresistive monofilament polymer sensors.  

PubMed

The development of flexible polymer monofilament fiber strain sensors have many applications in both wearable computing (clothing, gloves, etc.) and robotics design (large deformation control). For example, a high-stretch monofilament sensor could be integrated into robotic arm design, easily stretching over joints or along curved surfaces. As a monofilament, the sensor can be woven into or integrated with textiles for position or physiological monitoring, computer interface control, etc. Commercially available conductive polymer monofilament sensors were tested alongside monofilaments produced from carbon black (CB) mixed with a thermo-plastic elastomer (TPE) and extruded in different diameters. It was found that signal strength, drift, and precision characteristics were better with a 0.3 mm diameter CB/TPE monofilament than thick (~2 mm diameter) based on the same material or commercial monofilaments based on natural rubber or silicone elastomer (SE) matrices. PMID:24419161

Melnykowycz, Mark; Koll, Birgit; Scharf, Dagobert; Clemens, Frank

2014-01-01

33

Mechanics of Suture Joints  

NASA Astrophysics Data System (ADS)

Biological sutures are joints which connect two stiff skeletal or skeletal-like components. These joints possess a wavy geometry with a thin organic layer providing adhesion. Examples of biological sutures include mammalian skulls, the pelvic assembly of the armored fish Gasterosteus aculeatus (the three-spined stickleback), and the suture joints in the shell of the red-eared slider turtle. Biological sutures allow for movement and compliance, control stress concentrations, transmit loads, reduce fatigue stress and absorb energy. In this investigation, the mechanics of the role of suture geometry in providing a naturally optimized joint is explored. In particular, analytical and numerical micromechanical models of the suture joint are constructed. The anisotropic mechanical stiffness and strength are studied as a function of suture wavelength, amplitude and the material properties of the skeletal and organic components, revealing key insights into the optimized nature of these ubiquitous natural joints.

Li, Yaning; Song, Juha; Ortiz, Christine; Boyce, Mary

2011-03-01

34

Octylcyanoacrylate tissue adhesive versus suture wound repair in a contaminated wound model  

Microsoft Academic Search

Background. Octylcyanoacrylate tissue adhesive is a topical wound closure that precludes the need for foreign bodies (sutures) to close wounds. It also has an in vitro antimicrobial effect when standard disc sensitivity tests are used.Methods. To determine whether contaminated wounds closed with octylcyanoacrylate tissue adhesive will have a lower infection rate compared with wounds dosed with 5-0 monofilament sutures, we

Jim Quinn; Jennifer Maw; Karam Ramotar; Georg Wenckebach; George Wells

1997-01-01

35

Does UV disinfection compromise sutures? An evaluation of tissue response and suture retention in salmon surgically implanted with transmitters  

SciTech Connect

Ultraviolet radiation (UVR) can be used as a tool to disinfect surgery tools used for implanting transmitters into fish. However, the use of UVR could possibly degrade monofilament suture material used to close surgical incisions. This research examined the effect of UVR on monofilament sutures to determine if they were compromised and negatively influenced tag and suture retention, incision openness, or tissue reaction. Eighty juvenile Chinook salmon Oncorhynchus tshawytscha were surgically implanted with an acoustic transmitter and a passive integrated transponder. The incision was closed with a single stitch of either a suture exposed to 20 doses of UV radiation (5 minute duration per dose) or a new, sterile suture. Fish were then held for 28 d and examined under a microscope at day 7, 14, 21 and 28 for incision openness, ulceration, redness, and the presence of water mold. There was no significant difference between treatments for incision openness, redness, ulceration or the presence of water mold on any examination day. On day 28 post-surgery, there were no lost sutures; however, 2 fish lost their transmitters (one from each treatment). The results of this study do not show any differences in negative influences such as tissue response, suture retention or tag retention between a new sterile suture and a suture disinfected with UVR.

Walker, Ricardo W.; Brown, Richard S.; Deters, Katherine A.; Eppard, M. B.; Cooke, Steven J.

2013-10-01

36

Tissue Adhesive Versus Suture Wound Repair at 1 Year: Randomized Clinical Trial Correlating Early, 3Month, and 1Year Cosmetic Outcome  

Microsoft Academic Search

Study Objective: To compare the 1-year cosmetic outcome of wounds treated with octylcyanoacrylate tissue adhesive and monofilament sutures and to correlate the early, 3-month, and 1-year cosmetic outcomes. Methods: We prospectively randomized 136 cases of traumatic laceration to repair with octylcyanoacrylate tissue adhesive or 5-0 or smaller monofilament suture. A wound score was assigned by a research nurse, and validated

James Quinn; George Wells; Terri Sutcliffe; Mario Jarmuske; Jennifer Maw; Ian Stiell; Peter Johns

1998-01-01

37

Use of barbed suture in robot-assisted mitral valvuloplasty.  

PubMed

Robot-assisted annuloplasty using a mitral band has a major issue: suturing is time consuming because knot tying is performed mechanically under endoscopic view. We suture the mitral band to the native valve by running sutures using the V-Loc barbed suture nonabsorbable wound closure device (Covidien, Mansfield, MA) with 3-0 monofilament. This technique allows rapid suturing of the band to the valve. Although conventional interrupted sutures leave multiple knots protruding on the band, using the V-Loc eliminates the need to tie surgical knots and leaves a clean surface, which may potentially reduce the risk of thrombogenesis. This method is highly useful for robotic mitral annuloplasty. PMID:25555967

Watanabe, Go; Ishikawa, Norihiko

2015-01-01

38

Large-diameter carbon-composite monofilaments. [production method and characteristics of carbon composite monofilaments  

NASA Technical Reports Server (NTRS)

Large-diameter carbon composite monofilaments with high strength and high modulus were produced by pregging multifiber carbon bundles with suitable organic resins and pyrolysing them together. Two approaches were developed to increase the utilization of fiber tensile strength by minimizing stress concentration defects induced by dissimilar shrinkage during pyrolysis. These were matrix modification to improve char yield and strain-to-failure and fiber-matrix copyrolysis to alleviate matrix cracking. Highest tensile strength and modulus were obtained by heat treatments to 2873 K to match fiber and matrix strain-to-failure and develop maximum monofilament tensile-strength and elastic modulus.

Bradshaw, W. G.; Pinoli, P. C.; Karlak, R. F.

1974-01-01

39

[Tip sutures].  

PubMed

Suture techniques are widely used and can be very useful and efficient to support the nasal tip and correct its deformities. Nevertheless, they are so powerful that they have to be performed very precisely if the surgeon does not want to create cosmetics as well as functional problems. The authors describe the main tip sutures and their effects, expected or not. PMID:25213489

Duron, J-B; Noel, W; Nguyen, P S; Jallut, Y; Aiach, G

2014-12-01

40

Aqua splint suture technique in isolated zygomatic arch fractures.  

PubMed

Various methods have been used to treat zygomatic arch fractures, but no optimal modality exists for reducing these fractures and supporting the depressed bone fragments without causing esthetic problems and discomfort for life. We developed a novel aqua splint and suture technique for stabilizing isolated zygomatic arch fractures. The objective of this study is to evaluate the effect of novel aqua splint and suture technique in isolated zygomatic arch fractures. Patients with isolated zygomatic arch fractures were treated by a single surgeon in a single center from January 2000 through December 2012. Classic Gillies approach without external fixation was performed from January 2000 to December 2003, while the novel technique has been performed since 2004. 67 consecutive patients were included (Classic method, n = 32 and Novel method, n = 35). An informed consent was obtained from all patients. The novel aqua splint and suture technique was performed by the following fashion: first, we evaluated intraoperatively the bony alignment by ultrasonography and then, reduced the depressed fracture surgically using the Gillies approach. Thereafter, to stabilize the fracture and obtain the smooth facial figure, we made an aqua splint that fit the facial contour and placed monofilament nonabsorbable sutures around the fractured zygomatic arch. The novel aqua splint and suture technique showed significantly correlated with better cosmetic and functional results. In conclusion, the aqua splint suture technique is very simple, quick, safe, and effective for stabilizing repositioned zygomatic arch fractures. The aqua splint suture technique can be a good alternative procedure in isolated zygomatic arch fractures. PMID:23793598

Kim, Dong-Kyu; Kim, Seung Kyun; Lee, Jun Ho; Park, Chan Hum

2014-04-01

41

Mechanical properties of suture materials in general and cutaneous surgery.  

PubMed

Comprehensive studies comparing tensile properties of sutures are over 25 years old and do not include recent advances in suture materials. Accordingly, the objective of this article is to investigate the tensile properties of commonly used sutures in cutaneous surgery. Thirteen 3-0 sized modern sutures (four nonabsorbable and nine absorbable) were tensile tested in both straight and knotted configurations according to the procedures outlined by the United States Pharmacopeia. Glycomer 631 was found to have the highest failure load (56.1 N) of unknotted absorbable sutures, while polyglyconate (34.2 N) and glycomer 631 (34.3 N) had the highest failure loads of knotted absorbable sutures. Nylon (30.9 N) and polypropylene (18.9 N) had the greatest failure loads of straight and knotted nonabsorbable sutures, respectively. Polydioxane was found to have the most elongation prior to breakage (144%) of absorbable sutures. Silk (8701 MPa) and rapid polyglactin 910 (9320 MPa) had the highest initial modulus of nonabsorbable and absorbable sutures, respectively. The new data presented in the study provide important information for guiding the selection of suture materials for specific surgeries. © 2014 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2014. PMID:25045025

Naleway, Steven E; Lear, William; Kruzic, Jamie J; Maughan, Cory B

2014-07-18

42

ON THE MECHANICAL BEHAVIOUR OF MONOFILAMENT TECHNICAL TEXTILES  

Microsoft Academic Search

In this work the behaviour of dry monofilament technical textiles is investigated. The considered textiles are typically used in the screen printing industry. In this field, the deformability of the textile is an essential aspect for the quality of the final print. Therefore, a full knowledge of the mechanical properties of the textile is mandatory to predict the influence of

V. Carvelli

43

Horizontal running mattress suture modified with intermittent simple loops.  

PubMed

Using the combination of a horizontal running mattress suture with intermittent loops achieves both good eversion with the horizontal running mattress plus the ease of removal of the simple loops. This combination technique also avoids the characteristic railroad track marks that result from prolonged non-absorbable suture retention. The unique feature of our technique is the incorporation of one simple running suture after every two runs of the horizontal running mattress suture. To demonstrate its utility, we used the suturing technique on several patients and analyzed the cosmetic outcome with post-operative photographs in comparison to other suturing techniques. In summary, the combination of running horizontal mattress suture with simple intermittent loops demonstrates functional and cosmetic benefits that can be readily taught, comprehended, and employed, leading to desirable aesthetic results and wound edge eversion. PMID:23723610

Chacon, Anna H; Shiman, Michael I; Strozier, Narissa; Zaiac, Martin N

2013-01-01

44

Local tissue reaction to implantation of biodegradable suture materials.  

PubMed

Morphological changes in tissues adjacent to the implant were studied 1, 2, 6, and 12 months after implantation of biodegradable suture materials (catgut thread, DemeTECH polyfilament thread, and Surgilactin monofilament thread) into subcutaneous fat of rats. Tissue reaction to implantation of different suture materials developed as usual in response to a wound process and to a foreign body. By the end of month 1. the stage of traumatic perifocal inflammation was replaced in all groups by the proliferative phase with formation of new vessels and connective tissue. A trend to reduction of the productive inflammation activity from month 1 to month 12 was noted. Complete degeneration of the material after 12 months with complete recovery of the histoarchitecture of the adjacent tissues (restitution) was detected only after implantation of DemeTECH polyfilament thread. PMID:25065322

Kuznetsova, I V; Maiborodin, I V; Shevela, A I; Barannik, M I; Manaev, A A; Brombin, A I; Maiborodina, V I

2014-07-01

45

Evaluation of five different suture materials in the skin of the earthworm (Lumbricus terrestris).  

PubMed

The purpose of this study was to determine which suture material is the most appropriate for dermal closure of terrestrial annelids. This paper describes the tissue reactions of the earthworm, Lumbricus terrestris, to five different types of suture materials in order to determine which suture material is the most appropriate for dermal closure. Silk, monofilament nylon, polydiaxonone, polyglactin 910, and chromic gut were studied. There was mild to moderate tissue reaction to all five suture materials. In all of the biopsies wound-healing reaction consisted of aggregates of blastemal cells which appeared in various stages of dedifferentiation from the body wall. Inflammatory cells infiltrated the wound sites, reminiscent of the typical foreign body reaction in vertebrates. The results indicate polyglactin 910 would be the best suture material with regards to tissue security and reaction scores. Chromic gut occupies the next position but there were problems with suture security over time. This appears to be the first suture material performance study on a terrestrial invertebrate. The earthworm, Lumbricus terrestris, was chosen for its wide availability, size, and the extensive species knowledge base. The earthworm may prove to be a good surgical/suture model for economically important invertebrates such as mollusks, tunicates, and insect larval stages. PMID:25143875

Salgado, Melissa A; Lewbart, Gregory A; Christian, Larry S; Griffith, Emily H; Law, Jerry McHugh

2014-01-01

46

A randomized comparison between monofilament and multifilament tapes for stress incontinence surgery  

Microsoft Academic Search

Our objective was to compare monofilament and multifilament tapes positioned without tension at the midurethra for postoperative complications and cure rate. One hundred patients with stress urinary incontinence were randomly allocated into two study groups. Using identical surgical methodology, 50 patients had a monofilament tape inserted at the midurethra using the TVT delivery instrument, and another 50 a multifilament tape

Tomasz Rechberger; Katarzyna Rze?niczuk; Pawe? Skorupski; Aneta Adamiak; Jacek Tomaszewski; W?odzimierz Baranowski; Jerzy A. Jakowicki

2003-01-01

47

Monofilament technical textiles: An analytical model for the prediction of the mechanical behaviour  

Microsoft Academic Search

The work presents an analytical model to evaluate the mechanical behaviour of dry monofilament technical textiles. The mechanical behaviour is obtained by a three-dimensional analytical model based on a theory of curved beam. Taking into consideration a unit cell, the macroscopic (or global) behaviour of the monofilament textile is investigated assuming the nonlinear constitutive behaviour of the fibres obtained by

Valter Carvelli

2009-01-01

48

Adjustable sutures in children.  

PubMed

Although adjustable sutures are considered a standard technique in adult strabismus surgery, most surgeons are hesitant to attempt the technique in children, who are believed to be unlikely to cooperate for postoperative assessment and adjustment. Interest in using adjustable sutures in pediatric patients has increased with the development of surgical techniques specific to infants and children. This workshop briefly reviews the literature supporting the use of adjustable sutures in children and presents the approaches currently used by three experienced strabismus surgeons. PMID:24924284

Engel, J Mark; Guyton, David L; Hunter, David G

2014-06-01

49

Regulation of Cranial Suture Morphogenesis  

Microsoft Academic Search

The cranial sutures are the primary sites of bone formation during skull growth. Morphogenesis and phenotypic maintenance of the cranial sutures are regulated by tissue interactions, especially those with the underlying dura mater. Removal of the dura mater in fetuses causes abnormal suture development and premature suture obliteration. The dura mater interacts with overlying tissues of the cranial vault by

Roy C. Ogle; Sunil S. Tholpady; Kathryn A. McGlynn; Rebecca A. Ogle

2004-01-01

50

Hypersensitivity to suture anchors.  

PubMed

Hypersensitivity to suture anchor is extremely rare. Herein, we present a case in which hypersensitivity to suture anchor was strongly suspected. The right rotator cuff of a 50-year-old woman was repaired with a metal suture anchor. Three weeks after the surgery, she developed erythema around her face, trunk, and hands, accompanied by itching. Infection was unlikely because no abnormalities were detected by blood testing or by medical examination. Suspicious of a metallic allergy, a dermatologist performed a patch testing 6 months after the first surgery. The patient had negative reactions to tests for titanium, aluminum, and vanadium, which were the principal components of the suture anchor. The anchor was removed 7 months after the first surgery, and the erythema disappeared immediately. When allergic symptoms occur and persist after the use of a metal anchor, removal should be considered as a treatment option even if the patch test result is negative. PMID:23956902

Goto, Masafumi; Gotoh, Masafumi; Mitsui, Yasuhiro; Tanesue, Ryo; Okawa, Takahiro; Higuchi, Fujio; Shiba, Naoto

2013-01-01

51

Adjustable suture strabismus surgery  

PubMed Central

Surgical management of strabismus remains a challenge because surgical success rates, short-term and long-term, are not ideal. Adjustable suture strabismus surgery has been available for decades as a tool to potentially enhance the surgical outcomes. Intellectually, it seems logical that having a second chance to improve the outcome of a strabismus procedure should increase the overall success rate and reduce the reoperation rate. Yet, adjustable suture surgery has not gained universal acceptance, partly because Level 1 evidence of its advantages is lacking, and partly because the learning curve for accurate decision making during suture adjustment may span a decade or more. In this review we describe the indications, techniques, and published results of adjustable suture surgery. We will discuss the option of ‘no adjustment' in cases with satisfactory alignment with emphasis on recent advances allowing for delayed adjustment. The use of adjustable sutures in special circumstances will also be reviewed. Consistently improved outcomes in the adjustable arm of nearly all retrospective studies support the advantage of the adjustable option, and strabismus surgeons are advised to become facile in the application of this approach. PMID:21760626

Nihalani, B R; Hunter, D G

2011-01-01

52

An in vitro evaluation of the stability of mechanical properties of surgical suture materials in various pH conditions.  

PubMed Central

The effects of pH on the tensile properties of eight commonly used 2-0 suture materials--plain catgut, Dexon, Vicryl, silk, Nurolon, Ethilon, Mersilene, and Prolene--were examined. The pH level ranged from 3.0 to 10.0. In general, absorbable suture materials were more sensitive to pH than non-absorbable suture materials; within the same suture materials, a strong alkaline condition would have a more adverse effect on the strength of suture materials than physiologic and acidic pHs. Plain catgut sutures lost relatively significant amounts of strength at both acidic and alkaline conditions when compared with Dexon and Vicryl sutures; hence, precaution should be taken when they are used in closing tissues in contact with acidic environment like the stomach. Among the non-absorbable suture materials, silk and Nurolon exhibited the largest loss of strength in both alkaline and acidic environments after one month, while other sutures retained almost all of their original strength. Physical configuration of the suture materials seemed also to contribute to the sensitivity of suture materials toward pH. A comparison of Nurolon and Ethilon sutures demonstrated this point of view. PMID:6870380

Chu, C C; Moncrief, G

1983-01-01

53

Modified Knowles toggle pin technique with nylon monofilament suture material for treatment of two caudoventral hip luxation cases.  

PubMed

The coxofemoral joint is the most commonly luxated joint in dogs and cats. Coxofemoral luxations are generally craniodorsal; caudoventral coxofemoral luxations are relatively rare occurrences and may be accompanied by fracture of the greater trochanter. The aim of our study was to report the results of a modified Knowles toggle pin application in two caudoventral hip luxations for which closed reduction had not been achieved. Medical records of dogs and cats, which had been presented at our institution between September 1999 and October 2007, were reviewed for cases of coxofemoral luxation. In total, the case records of 67 cats and 147 dogs were found. Of these cases, there was one cat and one dog with caudoventral coxofemoral luxation. For both cases, the toggle pin technique was the method of treatment. The cat had a good clinical recovery within three days after surgery. The dog, which also had a cruciate ligament rupture in the same limb and medial patellar luxation in the contralateral limb, was presented with severe lameness and pain approximately two and a half months after surgery, at which time fracture of the femoral head was diagnosed. Functional recovery was achieved after a femoral head and neck ostectomy had been performed. PMID:20151076

Cetinkaya, M A; Olcay, B

2010-01-01

54

Tension of knotted surgical sutures shows tissue specific rapid loss in a rodent model  

PubMed Central

Background Every surgical suture compresses the enclosed tissue with a tension that depends from the knotting force and the resistance of the tissue. The aim of this study was to identify the dynamic change of applied suture tension with regard to the tissue specific cutting reaction. Methods In rabbits we placed single polypropylene sutures (3/0) in skin, muscle, liver, stomach and small intestine. Six measurements for each single organ were determined by tension sensors for 60 minutes. We collected tissue specimens to analyse the connective tissue stability by measuring the collagen/protein content. Results We identified three phases in the process of suture loosening. The initial rapid loss of the first phase lasts only one minute. It can be regarded as cutting through damage of the tissue. The percentage of lost tension is closely related to the collagen content of the tissue (r = -0.424; p = 0.016). The second phase is characterized by a slower decrease of suture tension, reflecting a tissue specific plastic deformation. Phase 3 is characterized by a plateau representing the remaining structural stability of the tissue. The ratio of remaining tension to initial tension of phase 1 is closely related to the collagen content of the tissue (r = 0.392; p = 0.026). Conclusions Knotted non-elastic monofilament sutures rapidly loose tension. The initial phase of high tension may be narrowed by reduction of the surgeons' initial force of the sutures' elasticity to those of the tissue. Further studies have to confirm, whether reduced tissue compression and less local damage permits improved wound healing. PMID:22188826

2011-01-01

55

Kelp Gulls (Larus dominicanus) killed and injured by discarded monofilament lines at a marine recreational fishery in northern Patagonia.  

PubMed

Among marine debris, monofilament fishing lines often result in negative impacts on marine organisms. We characterized marine debris and incidence of lost and discarded monofilament lines along beaches used by recreational fishers, and report the impact of lines on Kelp Gulls (Larus dominicanus) at the Bahía San Blas protected area, site of one of the main shore-based recreational fisheries of the southwestern Atlantic. Over 55% of the marine debris recorded originated from recreational fishing activities. Balls of tangled monofilament lines were found at a rate of 40.5 items per km. A total of 27 adult Kelp Gulls were found entangled with monofilament. All individuals were tangled to vegetation within colony boundaries. Four of the gulls had a monofilament line protruding from the bill, showing that they may be also killed when trying to obtain bait. Our results indicate that lost or discarded monofilament lines in the Bahía San Blas recreational fishing area result in undesired impacts on coastal wildlife. PMID:24951250

Yorio, Pablo; Marinao, Cristian; Suárez, Nicolás

2014-08-15

56

Force Sensing in Surgical Sutures  

PubMed Central

The tension in a suture is an important factor in the process of wound healing. If there is too much tension in the suture, the blood flow is restricted and necrosis can occur. If the tension is too low, the incision opens up and cannot heal properly. The purpose of this paper is to describe the design and evaluation of the Stitch Force (SF) sensor and the Hook-In Force (HIF) sensor. These sensors were developed to measure the force on a tensioned suture inside a closed incision and to measure the pulling force used to close the incision. The accuracy of both sensors is high enough to determine the relation between the force in the thread of a stitch and the pulling force applied on the suture by the physician. In a pilot study, a continuous suture of 7 stitches was applied on the fascia of the abdominal wall of multiple pigs to study this relationship. The results show that the max force in the thread of the second stitch drops from 3 (SD 1.2) to 1 (SD 0.3) newton after the 4th stitch was placed. During placement of the 5th, 6th and 7th stitch, the force in the 2nd stitch was not influenced anymore. This study indicates that in a continuous suture the force in the thread remains constant up to more than 3 stiches away from the pulled loose end of the suture. When a force feedback tool is developed specially for suturing in surgery on patients, the proposed sensors can be used to determine safety threshold for different types of tissue and sutures. PMID:24376812

Horeman, Tim; Meijer, Evert-jan; Harlaar, Joris J.; Lange, Johan F.; van den Dobbelsteen, John J.; Dankelman, Jenny

2013-01-01

57

Arthroscopic Suture Anchor Tenodesis: Loop-Suture Technique  

PubMed Central

With advancements in arthroscopic surgery, arthroscopic biceps tenodesis with suture anchor recently has been reported to be a reasonable option for the treatment of biceps pathologies, especially for those that are symptomatic or accompanied by a rotator cuff tear. We introduce our technique of arthroscopic biceps tenodesis with suture anchor that we call the loop-suture technique, which is constructed with 1 loop strand and another sutured strand. This technique can help to improve biceps grip and simultaneously minimize longitudinal splitting of the tendon. In addition, it is relatively simple and can be performed with the use of conventional devices and arthroscopic portals used for rotator cuff repair, without the formation of additional portals or a separate incision for the tenodesis. PMID:23875133

Shon, Min Soo; Koh, Kyoung Hwan; Lim, Tae Kang; Lee, Seung Won; Park, Young Eun; Yoo, Jae Chul

2013-01-01

58

Comparison of a biofragmentable intestinal anastomosis ring with appositional suturing for subtotal colectomy in normal cats.  

PubMed

A subtotal colectomy was performed on 12 normal adult cats using an interrupted apposing suture pattern of monofilament polyglyconate (n = 6) or a biofragmentable intestinal anastomosis ring (Valtrac, Davis and Geck Company, Danbury, CT) (n = 6) composed of polyglycolic acid and barium sulfate. Abdominal radiographs were made daily, beginning 10 days after surgery, to determine fragmentation rates of the anastomosis ring. The cats were euthanatized 30 days after surgery, and a gross and histopathological evaluation of anastomotic healing and stricture formation was performed. The technique for implantation of the anastomosis ring was easy to learn and required only two purse string sutures to complete. Intraoperative complications associated with the anastomosis ring were minor, and included problems with purse string suture placement, small serosal tears, and spasms of the colon that reduced the lumenal diameter. There were no intraoperative complications in the cats with sutured anastomoses. Postoperative recovery was uneventful in all cats. The anastomosis rings fragmented 12.2 +/- 1.1 days (mean +/- standard deviation [SD]) after implantation and passed in the stool 3.8 +/- 1.9 days later without clinical signs in five of six cats. There were no statistically significant differences between the time required to perform the anastomosis (P = .348), postmortem gross anastomosis grades (P = .088), or percent of lumenal stricture (P = .178) between the two groups. Histologically, the only significant differences were an increased muscular inversion in the anastomoses performed using the fragmentable ring (P = .039) and an increased muscular eversion in the sutured anastomoses (P < .001) compared with normal colonic architecture. PMID:7871710

Huss, B T; Payne, J T; Johnson, G C; Wagner-Mann, C C

1994-01-01

59

Fractal Dimensions of Cranial Sutures and Waveforms  

Microsoft Academic Search

Two quite different shapes of cranial sutures ostensibly yield fractal dimensions. The rare, intricate sutures yield the more valid fractal dimensions because self-similar scaling provides a double-log plot of negative slope. These sutures are fractals over a range of several r values. Some of the highly folded, wavy sutures in humans also fill space except at very tiny values of

C. A. Long; J. E. Long

1992-01-01

60

The effect of suture anchor design and orientation on suture abrasion: An in vitro study  

Microsoft Academic Search

Purpose: To evaluate the effects of suture anchor design and orientation on suture abrasion in a cyclic model. Type of Study: In vitro. Methods: Biomechanical studies have shown suture breakage to be a predominant mode of failure in a suture anchor repair construct. It is possible that suture abrasion during knot tying or in vivo cyclic loading may contribute to

Davide D. Bardana; Robert T. Burks; John R. West; Patrick E. Greis

2003-01-01

61

Craniosynostosis of the lambdoid suture.  

PubMed

Craniosynostosis affecting the lambdoid suture is uncommon. The definition of lambdoid craniosynostosis solely applies to those cases demonstrating true suture obliteration, similar to other forms of craniosynostosis. In patients presenting with posterior plagiocephaly, true lambdoid craniosynostosis must be differentiated from the much more common positional molding. It can occur in a unilateral form, a bilateral form, or as part of a complex craniosynostosis. In children with craniofacial syndromes, synostosis of the lambdoid suture most often is seen within the context of a pansynostotic picture. Chiari malformations are commonly seen in multisutural and syndromic types of craniosynostosis that affect the lambdoid sutures. Posterior cranial vault remodeling is recommended to provide adequate intracranial volume to allow for brain growth and to normalize the skull shape. Although many techniques have been described for the correction of lambdoid synostosis, optimal outcomes may result from those techniques based on the concept of occipital advancement. PMID:25210507

Rhodes, Jennifer L; Tye, Gary W; Fearon, Jeffrey A

2014-08-01

62

New bactericidal surgical suture coating.  

PubMed

This paper demonstrates the effectiveness of a new antimicrobial suture coating. An amphiphilic polymer, poly[(aminoethyl methacrylate)-co-(butyl methacrylate)] (PAMBM), inspired by antimicrobial peptides, was bactericidal against S. aureus in time-kill experiments. PAMBM was then evaluated in a variety of polymer blends using the Japanese Industrial Standard (JIS) method and showed excellent antimicrobial activity at a low concentration (0.5 wt %). Using a similar antimicrobial coating formula to commercial Vicryl Plus sutures, disk samples of the coating material containing PAMBM effectively killed bacteria (98% reduction at 0.75 wt %). Triclosan, the active ingredient in Vicryl Plus coatings, did not kill the bacteria. Further Kirby-Bauer assays of these disk samples showed an increasing zone of inhibition with increasing concentration of PAMBM. Finally, the PAMBM-containing coating was applied to sutures, and the morphology of the coating surface was characterized by SEM, along with Vicryl and uncoated sutures. The PAMBM-containing sutures killed bacteria more effectively (3 log(10) reduction at 2.4 wt %) than Vicryl Plus sutures (0.5 log(10) reduction). PMID:22877364

Li, Yan; Kumar, Kushi N; Dabkowski, Jeffrey M; Corrigan, Meagan; Scott, Richard W; Nüsslein, Klaus; Tew, Gregory N

2012-08-21

63

A numerical and experimental analysis of reactor performance and deposition rates for CVD on monofilaments  

NASA Technical Reports Server (NTRS)

The computational fluid dynamics (CFD) code FLUENT is adopted to simulate a cylindrical upflow reactor designed for chemical vapor deposition (CVD) on monofilaments. Equilibrium temperature profiles along the fiber and quartz reactor wall are experimentally measured and used as boundary conditions in numerical simulations. Two-dimensional axisymmetric flow and temperature fields are calculated for hydrogen and argon; the effect of free convection is assessed. The gas and surface chemistry is included for predicting silicon deposition from silane. The model predictions are compared with experimentally measured silicon CVD rates. Inferences are made for optimum conditions to obtain uniformity.

Gokoglu, S. A.; Kuczmarski, M.; Veitch, L.; Tsui, P.; Chait, A.

1990-01-01

64

Intravenous angiocatheters as a novel alternative to Semmes-Weinstein monofilament evaluation in testing protective sensation.  

PubMed

Semmes-Weinstein monofilament (SWM) evaluation for protective sensation in diabetic feet is a widely used tool to guide patient care. Little evidence is available for alternative testing modalities for use when monofilament is not available or is deformed. Multiple varieties of intravenous angiocatheter tubing were subjected to biomechanical testing on a digital scale to assess the force generated once bending was observed by five independently tested raters. A 5.07 SWM (10 g) was tested in similar manner to establish a baseline and validate testing methodology. The 24 gauge × 0.75 in angiocatheter measured the closest to the 5.07 SWM (10 g) at an average force of 22 ± 0.91 g compared with 10.2 ± 0.13 g. Large-gauge angiocatheters measured greater forces. High intra-rater and inter-rater reliability was observed with all values greater than 0.98 (p < 0.001). A 24 gauge × 0.75 in angiocatheter tubing can be used as an alternative to the standard 5.07 SWM (10 g) for testing protective sensation in diabetic feet. Reviewing previously published receiver operating characteristics, this modality would yield estimated sensitivity and specificity values greater than 0.8 and 0.7, respectively, for detecting insensate feet tested at the bilateral metatarsal heads. PMID:24690970

Hire, Justin M; Ramadorai, Uma E; Contractor, Dhruti; Jacobs, Jeremy M; Bojescul, John A; Abell, Brian E

2014-04-01

65

Mechanisms of premature closure of cranial sutures  

Microsoft Academic Search

Craniosynostosis is defined as premature closure of the sutures of the skull, resulting in cranial deformity. Since Virchow’s\\u000a original paper describing the relationship between premature suture closure and skull morphology, we have learned much about\\u000a the underlying mechanisms and consequences of premature suture closure. In this paper we will describe the biology of suture\\u000a closure, the rules governing the resulting

Tord D. Alden; Kant Y. Lin; John A. Jane

1999-01-01

66

Neutron diffraction studies of the Zr/Nb effects on the Nb3Sn phase formation of monofilament wires  

E-print Network

the internal tin process. Titanium has been alloyed with Sn and shows an important increase of the Nb3Sn. Experimental Monofilament wires were manufactured using the internal tin process and were composed of one sub-element with a central tin reservoir containing 2at% of titanium (Fig. 1). No outer diffusion barrier was used. Three

Paris-Sud XI, Université de

67

Controlled-tension suture-tying forceps.  

PubMed

Suture-tying forceps have been designed to enable surgeons to tie consecutive sutures to the same tension to create an evenly compressed wound. The tensioning effect of the forceps was tested by tying a suture to the end of a cantilever beam strain-gauge device. Three sutures were used: 10/0 nylon, 8/0 polyglactin (Vicryl) and 8/0 virgin silk. The tests were repeated, coating the tips with citrated blood, sodium hyaluronate and saline. Adjustment of the forceps altered the suture tension in 0.015-N steps. Sterilization of the forceps by ethylene oxide or by an autoclave caused no obvious regression in the forceps performance. When the suture and surface lubricant remain constant, there is a linear relationship between forceps setting and the tension induced in the suture. PMID:1757915

Talbot, E M; Thorpe, A W; Mushtaq, I

1991-10-01

68

A miniature tension sensor to measure surgical suture tension of deformable musculoskeletal tissues during joint motion.  

PubMed

The aim of this study was to develop a new suture tension sensor for musculoskeletal soft tissue that shows deformation or movements. The suture tension sensor was 10 mm in size, which was small enough to avoid conflicting with the adjacent sensor. Furthermore, the sensor had good linearity up to a tension of 50 N, which is equivalent to the breaking strength of a size 1 absorbable suture defined by the United States Pharmacopeia. The design and mechanism were analyzed using a finite element model prior to developing the actual sensor. Based on the analysis, adequate material was selected, and the output linearity was confirmed and compared with the simulated result. To evaluate practical application, the incision of the skin and capsule were sutured during simulated total knee arthroplasty. When conventional surgery and minimally invasive surgery were performed, suture tensions were compared. In minimally invasive surgery, the distal portion of the knee was dissected, and the proximal portion of the knee was dissected additionally in conventional surgery. In the skin suturing, the maximum tension was 4.4 N, and this tension was independent of the sensor location. In contrast, the sensor suturing the capsule in the distal portion had a tension of 4.4 N in minimally invasive surgery, while the proximal sensor had a tension of 44 N in conventional surgery. The suture tensions increased nonlinearly and were dependent on the knee flexion angle. Furthermore, the tension changes showed hysteresis. This miniature tension sensor may help establish the optimal suturing method with adequate tension to ensure wound healing and early recovery. PMID:24436492

Kiriyama, Yoshimori; Matsumoto, Hideo; Toyama, Yoshiaki; Nagura, Takeo

2014-02-01

69

Mechanism of skull suture maintenance and interdigitation  

PubMed Central

Skull sutures serve as growth centers whose function involves multiple molecular pathways. During periods of brain growth the sutures remain thin and straight, later developing complex fractal interdigitations that provide interlocking strength. The nature of the relationship between the molecular interactions and suture pattern formation is not understood. Here we show that by classifying the molecules involved into two groups, stabilizing factors and substrate molecules, complex molecular networks can be modeled by a simple two-species reaction–diffusion model that recapitulates all the known behavior of suture pattern formation. This model reproduces the maintenance of thin sutural tissue at early stages, the later modification of the straight suture to form osseous interdigitations, and the formation of fractal structures. Predictions from the model are in good agreement with experimental observations, indicating that the model captures the essential nature of the interdigitation process. PMID:19811566

Miura, Takashi; Perlyn, Chad A; Kinboshi, Masato; Ogihara, Naomichi; Kobayashi-Miura, Mikiko; Morriss-Kay, Gillian M; Shiota, Kohei

2009-01-01

70

The benefits of using barbed sutures with automated suturing devices in gynecologic endoscopic surgeries.  

PubMed

Laparoscopic suturing and knot tying are some of the most difficult surgical skills to acquire, and are often times regarded as a rate-limiting step in the performance of advanced gynecologic endoscopic procedures. Automated suturing devices can significantly decrease the steep learning curve of this task but still require laparoscopic knot tying. Barbed sutures offer several advantages including rapid, consistent wound closure with even distribution of tension across the wound, the suture holds tension on its own, the need for knot tying with associated issues related to suture tensile strength and knot security is eliminated, and suturing time is decreased. Use of a barbed suture with an automated suturing device can offer many advantages to both the novice and the experienced surgeon, including increased efficiency, more uniform wound closure, and the ability to perform a laparoscopic continuous running stitch without the need for intracorporeal knot tying. PMID:24081852

Hart, Stuart; Sobolewski, Craig J

2013-09-01

71

Geometrically controlled tensile response of braided sutures.  

PubMed

Sutures are the materials used for wound closure that are caused by surgery or trauma. The main pre-requisite to the success of the suture is to obtain ultimate level of tensile properties with defined geometrical constraints. In this communication, the model for tensile properties of braided sutures has been proposed by elucidating the most important geometrical and material parameters. The model has accounted for the kinematical changes occurring in the braid and constituent strand geometries under defined level of strain. A comparison has been made between the theoretical and experimental results of stress-strain characteristics of braided sutures. PMID:25579946

Rawal, Amit; Sibal, Apurv; Saraswat, Harshvardhan; Kumar, Vijay

2015-03-01

72

A groundbreaking new suturing device  

Microsoft Academic Search

Background  Laparoscopic knot tying can be stressful. We reported two simple techniques, known as the Thumbs up! knot and the Tornado\\u000a knot. We have further refined these procedures with the development of a new needle holder, called the Excalibur suturing\\u000a needle holder.\\u000a \\u000a \\u000a \\u000a Materials  This forceps differ from most conventional forceps in that the hinge is designed to stick out. The large hinge

K. Uchida; N. Haruta; H. Tanji; M. Okajima; T. Naitoh; K. Kasama; M. Matsuda; M. Yamamoto

2006-01-01

73

Enhanced Cosmetic Outcome with Running Horizontal Mattress Sutures  

E-print Network

Enhanced Cosmetic Outcome with Running Horizontal Mattress Sutures BRENT R. MOODY, MD, JOHN E good wound eversion, firm closure, and cosmetically elegant results. Simple running sutures. OBJECTIVE. We compared the cosmetic results of simple running nonabsorbable sutures with running horizontal

McCarthy, John E.

74

The double loop mattress suture  

PubMed Central

An interrupted stitch type with favorable tissue characteristics will reduce local wound complications. We describe a novel high-strength, low-tension repair for the interrupted closure of skin, cartilage, and muscle, the double loop mattress stitch, and compare it experimentally with other interrupted closure methods. The performance of the double loop mattress technique in porcine cartilage and skeletal muscle is compared with the simple, mattress, and loop mattress interrupted sutures in both a novel porcine loading chamber and mechanical model. Wound apposition is assessed by electron microscopy. The performance of the double loop mattress in vivo was confirmed using a series of 805 pediatric laparotomies/laparoscopies. The double loop mattress suture is 3.5 times stronger than the loop mattress in muscle and 1.6 times stronger in cartilage (p ? 0.001). Additionally, the double loop mattress reduces tissue tension by 66% compared with just 53% for the loop mattress (p ? 0.001). Wound gapping is equal, and wound eversion appears significantly improved (p ? 0.001) compared with the loop mattress in vitro. In vivo, the double loop mattress performs as well as the loop mattress and significantly better than the mattress stitch in assessments of wound eversion and dehiscence. There were no episodes of stitch extrusion in our series of patients. The mechanical advantage of its intrinsic pulley arrangement gives the double loop mattress its favorable properties. Wound dehiscence is reduced because this stitch type is stronger and exerts less tension on the tissue than the mattress stitch. We advocate the use of this novel stitch wherever a high-strength, low-tension repair is required. These properties will enhance wound repair, and its application will be useful to surgeons of all disciplines. PMID:24698436

Biddlestone, John; Samuel, Madan; Creagh, Terry; Ahmad, Tariq

2014-01-01

75

The double loop mattress suture.  

PubMed

An interrupted stitch type with favorable tissue characteristics will reduce local wound complications. We describe a novel high-strength, low-tension repair for the interrupted closure of skin, cartilage, and muscle, the double loop mattress stitch, and compare it experimentally with other interrupted closure methods. The performance of the double loop mattress technique in porcine cartilage and skeletal muscle is compared with the simple, mattress, and loop mattress interrupted sutures in both a novel porcine loading chamber and mechanical model. Wound apposition is assessed by electron microscopy. The performance of the double loop mattress in vivo was confirmed using a series of 805 pediatric laparotomies/laparoscopies. The double loop mattress suture is 3.5 times stronger than the loop mattress in muscle and 1.6 times stronger in cartilage (p???0.001). Additionally, the double loop mattress reduces tissue tension by 66% compared with just 53% for the loop mattress (p???0.001). Wound gapping is equal, and wound eversion appears significantly improved (p???0.001) compared with the loop mattress in vitro. In vivo, the double loop mattress performs as well as the loop mattress and significantly better than the mattress stitch in assessments of wound eversion and dehiscence. There were no episodes of stitch extrusion in our series of patients. The mechanical advantage of its intrinsic pulley arrangement gives the double loop mattress its favorable properties. Wound dehiscence is reduced because this stitch type is stronger and exerts less tension on the tissue than the mattress stitch. We advocate the use of this novel stitch wherever a high-strength, low-tension repair is required. These properties will enhance wound repair, and its application will be useful to surgeons of all disciplines. PMID:24698436

Biddlestone, John; Samuel, Madan; Creagh, Terry; Ahmad, Tariq

2014-01-01

76

The significance of the Himalayan suture zone  

NASA Astrophysics Data System (ADS)

The 2500 km long Himalayan Suture Zone is discussed within the widest structural frame, with new results obtained from a study of the Landsat pictures. The platform sediments from the Tethys or Tibetan Himalaya, north of the Main Central Thrust, Change northwards into a belt of Flysch sediments beginning in the Triassic and reaching the Paleocene. The belt is mixed with oceanic crust material such as volcanics, melanges and ultrabasic slabs, and is strongly tectonized: the Suture Zone. It is followed to the north by a conspicuous belt of Kailas Molasse, of Paleogene age and transgressing the late Cretaceous Transhimalayan plutons. They consist of five bodies, predominantly tonalitic, separated by structural anomalies that also cut the Suture Zone. The plutons are structurally controlled and related to the Himalayan Suture (Subduction belt?). They are followed to the north by the south Tibetan Nyenchen Tangla belt, bordered by large fault zones and characterized by frequent Paleogene acid volcanics. The Central Tibetan Chang Thang area is structurally most complex, contains some ultrabasic rocks related to large fault zones, and exposes a large subrecent basaltic volcanism with no structural control but reminiscent of a "hot spot". The northern Kun Lun — Astin Tagh Paleozoic erogenic belt displays 200 km of rejuvenated fault zones, some older mantle fragments and subrecent volcanism. This structural aspect of Tibet, with internal older Suture Zones, younging southwards, contrasts with the Indian plate south of the Main Himalayan Suture. This Suture Zone is the only constant structural element all along the Alpine-Himalayan belt.

Gansser, A.

1980-02-01

77

Influence of different length of core suture purchase among suture row on the strength of 6-strand tendon repairs.  

PubMed

In multi-strand suture methods consisting of several suture rows, the different length of core suture purchase between each suture row may affect the strength of repairs. We evaluated the influence of the different length of core suture purchase between each suture row on the strength of 6-strand tendon repairs. Rabbit flexor tendons were repaired by using a triple-looped suture technique in which the suture purchase length in each suture row was modified. Group 1, all lengths are 8-mm. Group 2, all lengths are 10-mm. Group 3, two are 10-mm and one is 8-mm. Group 4, one is 10-mm and two are 8-mm. The repaired tendons were subjected to load-to-failure test. The gap strength was significantly greater in Group 1 and Group 2 than in Group 3 and Group 4. This study demonstrates that maintaining equal core suture purchase lengths of each suture row increases the gap resistance. PMID:25609270

Okubo, Hirotaka; Kusano, Nozomu; Kinjo, Masaki; Kanaya, Fuminori

2015-01-01

78

[Manual suture versus/or mechanical suture from the Austrian viewpoint].  

PubMed

A general inquiry was made at surgical units and university clinics in Austria about the anastomosis techniques used between 1980 to 1985. The result was that in 90.3% the suture was made by hand and in 9.7% by machine. The first mentioned was performed as double row inverting suture by 66% of our surgeons, and only in 30% as an all-layer suture. The stapler-technique was mostly preferred for the oesophago-jejunostomy and the high and lower resection of the rectum. A leakage of the suture line was observed in 3.9% after sewing by hand and in 6.3% after stapling. The total lethality finally was 1.4% for hand made suture and 1.8% for apparative suture. PMID:3323741

Kronberger, L; Germann, R

1987-01-01

79

Mechanics of cranial sutures using the finite element method.  

PubMed

To investigate how cranial suture morphology and the arrangement of sutural collagen fibres respond to compressive and tensile loads, an idealised bone-suture-bone complex was analysed using a two-dimensional finite element model. Three suture morphologies were simulated with an increasing interdigitation index (I.I.): butt-ended, moderate interdigitated, and complex interdigitated. The collagen matrix within all sutures was modelled as an isotropic material, and as an orthotropic material in the interdigitated sutures with fibre alignment as reported in studies of miniature pigs. Static uniform compressive or tensile loading was applied to the complex. In interdigitated sutures with isotropic material properties, the orientation of the maximum (tensile) principal stresses within the suture matched the collagen fibre orientation observed in compressed and tensed sutures of miniature pigs. This suggests that randomly arranged sutural collagen fibres could optimise to an orientation most appropriate to withstand the predominant type of loading. A compression-resistant fibre arrangement imparted the highest suture strain energy relative to the isotropic and tension-resistant arrangements, indicating that this configuration maximises energy storage. A comparison across the different suture morphologies indicated that bone strain energy generally decreased with a decrease in I.I., irrespective of the sutural fibre arrangement. However, high bone stress at the interdigitation apices shifted to the limbs of the suture with an increase in I.I. These combined findings highlight the importance of suture morphology and anisotropy as properties having a significant influence on sutural mechanics. PMID:20825945

Jasinoski, S C; Reddy, B D; Louw, K K; Chinsamy, A

2010-12-01

80

Vasal Reanastomosis Using Fibrin Glue Combined with Sutures: Which Combination of Sutures in a Delayed Protocol?  

Microsoft Academic Search

Objectives: The actual number of transmural sutures needed to ensure a successful fibrin-glued vasovasostomy is a key study parameter of the few experimental works already published. The present work was done to evaluate fibrin-glued vasovasostomy in rats in combination with only 2 transmural sutures. We compared the results to our previous study in which we demonstrated the efficiency of a

O. Vankemmel; A. de la Taille; J. M. Rigot; T. Burnouf; E. Mazeman

1998-01-01

81

The history and evolution of sutures in pelvic surgery  

PubMed Central

Summary The purpose of the study is to review the history and innovations of sutures used in pelvic surgery. Based on a review of the literature using electronic- and hand-searched databases we identified appropriate articles and gynaecology surgical textbooks regarding suture for wound closure. The first documented uses of suture are explored and then the article focuses on the use of knotted materials in pelvic surgery. The development of suture of natural materials is followed chronologically until the present time where synthetic suture is implanted during countless surgeries every day. This millennial history of suture contains an appreciation of the early work of Susruta, Celsus, Paré and Lister, including a survey of some significant developments of suture methods over the last 100 years. Most surgeons know little about the history and science of sutures. A retrospective view of suture is critical to the appreciation of the current work and development of this common tool. PMID:21357979

Muffly, Tyler M; Tizzano, Anthony P; Walters, Mark D

2011-01-01

82

A bidirectional interface growth model for cranial interosseous suture morphogenesis  

PubMed Central

Interosseous sutures exhibit highly variable patterns of interdigitation and corrugation. Recent research has identified fundamental molecular mechanisms of suture formation, and computer models have been used to simulate suture morphogenesis. However, the role of bone strain in the development of complex sutures is largely unknown, and measuring suture morphologies beyond the evaluation of fractal dimensions remains a challenge. Here we propose a morphogenetic model of suture formation, which is based on the paradigm of Laplacian interface growth. Computer simulations of suture morphogenesis under various boundary conditions generate a wide variety of synthetic sutural forms. Their morphologies are quantified with a combination of Fourier analysis and principal components analysis, and compared with natural morphological variation in an ontogenetic sample of human interparietal suture lines. Morphometric analyses indicate that natural sutural shapes exhibit a complex distribution in morphospace. The distribution of synthetic sutures closely matches the natural distribution. In both natural and synthetic systems, sutural complexity increases during morphogenesis. Exploration of the parameter space of the simulation system indicates that variation in strain and/or morphogen sensitivity and viscosity of sutural tissue may be key factors in generating the large variability of natural suture complexity. PMID:21539540

Zollikofer, Christoph P E; Weissmann, John David

2011-01-01

83

Fourier technique for studying ammonoid sutures  

SciTech Connect

Suture patterns have long been recognized as being of primary importance in the study of ammonoids. The authors have developed a technique to use Fourier analysis to study these structures by using a simple transformation: x-y data of a digitized suture are transformed to angle of slope versus position along the suture's length. A Fast Fourier Transform applied to the data produces a power spectrum (amplitude versus wave number) providing a precise and accurate measure of suture shape. The authors have applied this technique to the analysis of ontogenetic change in suture morphology. In goniatitic, ceratitic and preadult ammonitic patterns most of the change is exhibited in the amplitudes of the lowest ten wave numbers. Their Fourier coefficients clearly show trends not readily apparent by visual inspection. The more complex ammonitic patterns are reflected in increased amplitudes of higher wave numbers (a broader peak of the power spectrum) and their analysis is necessarily more complex. The Fourier approach presents the opportunity to quantitatively measure and describe the tempo and mode of evolution in the Ammonoidea. Potential applications of the new technique, as well as limitations, are discussed with special attention to investigations of ammonoid ontogeny and phylogeny.

Gildner, R.F.; Ackerly, S.C.

1985-01-01

84

Double suture technique to delineate PASTA lesions.  

PubMed

A common method of treating PASTA (partial articular surface tendon avulsion) lesions involves completing the tear followed by arthroscopic repair. Frequently, the boundaries of the tear are difficult to determine from the bursal side with the use of a single marking stitch. Therefore, we describe a simple technique that allows the surgeon to reproducibly define the boundaries of the partial tear. Following a standard arthroscopic examination of the articular portion of the shoulder joint, the PASTA lesion is identified. A spinal needle is introduced and the most anterior and posterior aspects of the tear are marked by passing 2 sutures. Following a bursectomy, the 2 sutures that clearly define the boundaries of the tear are identified. The tear is then completed by "connecting the dots" outlined by the sutures and an arthroscopic repair is performed in the standard manner. PMID:16762713

Sperling, John W; Dahm, Diane L

2006-06-01

85

Use of fine?mesh monofilament gill nets for the removal of rudd (Scardinius erythrophthalmus) from a small lake complex in Waikato, New Zealand  

Microsoft Academic Search

Fine?mesh monofilament gill nets were deployed within the three shallow lakes of the Rotopiko complex, Waikato, New Zealand to assess their potential as a tool for controlling or eradicating rudd (Scardinius erythrophthalmus). Nets of different mesh sizes were placed at different spacings and orientations throughout the lakes for two fishing periods, to determine methodology to be used for intensive removal.

Keri Neilson; Rachel Kelleher; Grant Barnes; David Speirs; Johlene Kelly

2004-01-01

86

Suture needles in Oral Surgery: Alterations depending on the type and number of sutures  

PubMed Central

This study examined whether the number and type of sutures used in oral surgery influence two ad hoc variables (incision plane and displaced area), which are two variables related to whether the suture needle is suitable for the task. Seventy-five TB-15 needles were studied, which were used to suture between zero and three mucosa and/subperiosteal sutures, producing 15 groups with 5 needles in each one. The incision plane and displaced area were measured for each group, which are two variables related to how the needle has worn and altered. Statistical treatment was conducted using the Kruskal-Wallis H test to compare multiple values and the Mann-Whitney U test to compare pairs. A multi-stage regression model was applied with the aim of predicting the changes in the dependent variables based on the number and type of sutures performed. The incision plane ranged from 126.67 to 346.24?m among the different groups. The displaced area was measured as being between 14 524.83?m² and 128 311.91?m². The best predictive model for the incision plane obtained a coefficient of determination (R2) of 0.149, while it reached 0.249 for the displaced area. Subperiosteal sutures held more weighting among the variables studied. Mucosal sutures did not seem to greatly affect needle wear. Observations reported in this paper indicate that the needle should be changed after having performed two subperiosteal sutures, given the wear and change to the incision plane that is produced, which causes the needle’s cutting ability to reduce. Key words: Needles, sutures, material testing, oral surgery, third molar, scanning electron microscope. PMID:22157669

Barranco-Piedra, Sebastian; Rodríguez-Caballero, Angela; Serrera-Figallo, María-Angeles; Segura-Egea, Juan-José; Gutiérrez-Pérez, José-Luis

2012-01-01

87

Posterosuperior suture granuloma impingement after arthroscopic SLAP repair using suture anchors: a case report.  

PubMed

Arthroscopic refixation of the glenoid labrum has become a standard treatment of type II SLAP lesions although postoperative results are not uniformly good due to factors which are yet unclear. We present the case of an active overhead athlete with an intraarticular posterosuperior impingement syndrome arising from a suture granuloma formation complicating the postoperative course after arthroscopic SLAP repair. The symptoms resolved completely following revision arthroscopy during which the granuloma and the permanent sutures were removed. Implant related complications should be considered when patients present with recurrent pain after arthroscopic SLAP repair using suture anchors, in particular during overhead activity. PMID:18365177

Ifesanya, Adeleke; Scheibel, Markus

2008-07-01

88

Development of manufacturing process for large-diameter composite monofilaments by pyrolysis of resin-impregnated carbon-fiber bundles  

NASA Technical Reports Server (NTRS)

Large diameter, carbon-carbon composite, monofilaments were produced from the pyrolysis of organic precursor resins reinforced with high-strenght carbon fibers. The mechanical properties were measured before and after pyrolysis and the results were correlated with the properties of the constituents. The composite resulting from the combination of Thornel 75 and GW-173 resin precursor produced the highest tensile strength. The importance of matching strain-to-failure of fibers and matrix to obtain all the potential reinforcement of fibers is discussed. Methods are described to reduce, within the carbonaceous matrix, pyrolysis flaws which tend to reduce the composite strength. Preliminary studies are described which demonstrated the feasibility of fiber-matrix copyrolysis to alleviate matrix cracking and provide an improved matrix-fiber interfacial bonding.

Bradshaw, W. G.; Pinoli, P. C.; Vidoz, A. E.

1972-01-01

89

21 CFR 878.4930 - Suture retention device.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4930 Suture retention device. (a) Identification. A suture retention...

2010-04-01

90

21 CFR 878.4930 - Suture retention device.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4930 Suture retention device. (a) Identification. A suture retention...

2012-04-01

91

21 CFR 878.4930 - Suture retention device.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4930 Suture retention device. (a) Identification. A suture retention...

2014-04-01

92

21 CFR 878.4930 - Suture retention device.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4930 Suture retention device. (a) Identification. A suture retention...

2011-04-01

93

21 CFR 878.4930 - Suture retention device.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4930 Suture retention device. (a) Identification. A suture retention...

2013-04-01

94

High-resolution sonography of the abnormal cranial suture  

Microsoft Academic Search

Objective. The purpose of this investigation is to elucidate the sonographic features of abnormal major cranial sutures. Materials and methods. Eight excised synostosed suture specimens were evaluated. The high-resolution sonographic appearance was correlated with\\u000a the histological section, plain radiographs, CT and MRI. Diastatic and molded sutures were also evaluated with sonography\\u000a and compared with the normal cranial suture appearance. Results.

Don Soboleski; Ben Mussari; Deb McCloskey; Eric Sauerbrei; Franco Espinosa; Al Fletcher

1998-01-01

95

Evaluation of Cranial Bone Suture Autotransplants in the Growing Rabbit  

Microsoft Academic Search

A coronal bone suture segment was autotransplanted into an experimentally created defect in the nongrowing portion of the nasal bone in 12 5-week-old male New Zealand white rabbits. The animals were sacrificed 90 days postoperatively. In most specimens the transplants were well incorporated into the recipient site. The transplanted sutures appeared narrower radiographically, and the bony projections of the sutures

Scott B. Nash; Vincent G. Kokich

1985-01-01

96

Mechanical properties of biodegradable polymer sutures coated with bioactive glass  

Microsoft Academic Search

Combining commercially available Polyglactin 910 (Vicryl®) sutures with bioactive glass powder offers new possibilities for application of composite materials in tissue engineering. Commercial bioactive glass (45S5 Bioglass®) powder was used to coat Vicryl® sutures and the tensile strength of the sutures was tested before and after immersion in simulated body fluid (SBF) as a means to assess the effect of

A. Stamboulis; L. L. Hench; A. R. Boccaccini

2002-01-01

97

Resistance forces acting on suture needles.  

PubMed

Understanding the resistance forces encountered by a suture needle during tissue penetration is important for the development of robotic surgical devices and virtual reality surgical simulators. Tensile forces applied to skin and tendon during suturing were measured. Fresh sheep achilles tendons were tensioned with a static load 4.9 N, 9.8 N or 19.6 N and sheepskin with 0.98 N, 2.9 N or 4.9 N static load. A straight 2/0 cutting suture needle in series with a load cell on a materials testing machine penetrated the tissue at 90 degrees with a velocity of 1, 5 or 10mm/s for each tissue tension (n=5). Continuous load versus displacement data was obtained and penetration load and stiffness were noted. The load versus displacement curve for skin during needle penetration demonstrated two characteristic peaks, corresponding to initial penetration and emergence of needle from the undersurface of the tissue. Increasing the tension within the tissue (skin and tendon) increased the amount of force required to penetrate the tissue with a suture needle (p<0.05). Needle displacement rate did not affect the resistance to needle penetration (p<0.05). This study provides a simple model for measuring force-feedback during needle penetration of soft tissues and is a good starting point for future studies of the penetration resistance properties of human tissues. PMID:11522313

Frick, T B; Marucci, D D; Cartmill, J A; Martin, C J; Walsh, W R

2001-10-01

98

Miniscrew Assisted Slow Expansion of Mature Sutures  

E-print Network

to three groups (0 g, 42 days, n=3; 100 g, 42 days, n=7; or 100 g, 105 days, n=2). Open-coil nickel-titanium springs delivered constant forces of 100 g across the sagittal suture to miniscrew implants (MSI’s) placed bilaterally in the frontal bone...

Pulver, Ross

2014-04-28

99

Microfocal CT: a method for evaluating murine cranial sutures in situ  

Microsoft Academic Search

IntroductionThe murine model is a well-established surrogate for studying human cranial suture biology. In mice, all sutures with the exception of the posterior frontal (PF) suture remain patent throughout life. Histology is regarded as the gold standard for analyzing sutures. On this basis, PF suture fusion begins on day of life 25 and is complete by day 45. Cranial suture

René F. Recinos; Christopher C. Hanger; Richard B. Schaefer; Christopher A. Dawson; Arun K. Gosain

2004-01-01

100

Twist1 homodimers enhance FGF responsiveness of the cranial sutures and promote suture closure  

Microsoft Academic Search

Haploinsufficiency of the transcription factor TWIST1 is associated with Saethre–Chotzen Syndrome and is manifested by craniosynostosis, which is the premature closure of the calvaria sutures. Previously, we found that Twist1 forms functional homodimers and heterodimers that have opposing activities. Our data supported a model that within the calvaria sutures Twist1 homodimers (T\\/T) reside in the osteogenic fronts while Twist1\\/E protein

Jeannette Connerney; Viktoria Andreeva; Yael Leshem; Miguel A. Mercado; Karen Dowell; Xuehei Yang; Volkhard Lindner; Robert E. Friesel; Douglas B. Spicer

2008-01-01

101

Carbon dioxide laser-assisted nerve repair: effect of solder and suture material on nerve regeneration in rat sciatic nerve.  

PubMed

In order to further improve and explore the role of lasers for nerve reconstruction, this study was designed to investigate regeneration of sharply transected peripheral nerves repaired with a CO(2) milliwatt laser in combination with three different suture materials and a bovine albumin protein solder as an adjunct to the welding process. Unilateral sciatic nerve repair was performed in 44 rats. In the laser group, nerves were gently apposed, and two stay sutures (10-0 nylon, 10-0 polyglycolic acid, or 25 microm stainless steel) were placed epi/perineurially. Thereafter, the repair site was fused at 100 mW with pulses of 1.0 s. In the subgroup of laser-assisted nerve repair (LANR), albumen was used as a soldering agent to further reinforce the repair site. The control group consisted of nerves repaired by conventional microsurgical suture repair (CMSR), using 4-6 10-0 nylon sutures. Evaluation was performed at 1 and 6 weeks after surgery, and included qualitative and semiquantitative light microscopy. LANR performed with a protein solder results in a good early peripheral nerve regeneration, with an optimal alignment of nerve fibers and minimal connective tissue proliferation at the repair site. All three suture materials produced a foreign body reaction; the least severe was with polyglycolic acid sutures. CMSR resulted in more pronounced foreign-body granulomas at the repair site, with more connective-tissue proliferation and axonal misalignment. Furthermore, axonal regeneration in the distal nerve segment was better in the laser groups. Based on these results, CO(2) laser-assisted nerve repair with soldering in combination with absorbable sutures has the potential of allowing healing to occur with the least foreign-body reaction at the repair site. Further experiments using this combination are in progress. PMID:12740882

Menovsky, Tomas; Beek, Johan F

2003-01-01

102

Effect of suture material on platelet deposition onto prosthetic material  

SciTech Connect

Previous studies have demonstrated the importance of employing prosthetic material with minimal thrombogenicity. However, the role of different suture materials in early thrombotic events on prosthetic materials has not been examined. Experiments were designed to analyze the effects of suture on platelet graft interaction using an in vivo baboon hemocompatability screen. Indium labeled, autologous platelet deposition was determined on expanded polytetrafluoroethylene (ePTFE) containing suture lines of polypropylene (Prolene), polybutester (Novafil), and ePTFE (Gore-Tex). A significant increase in platelet deposition was noted not only at the suture line, but proximal and distal to it as well. The results were different for each of the sutures employed and suggest that the suture line may influence early platelet deposition in the perianastomotic region, not only at the suture line, but proximally and distally as well.

Connolly, R.; McEnroe, C.S.; Li, S.; Coleman, J.; Callow, A.D.

1988-07-01

103

Skin tension related to tension reduction sutures.  

PubMed

The aim of this study was to compare the skin tension of several fascial/subcutaneous tensile reduction sutures. Six upper limbs and 8 lower limbs of 4 fresh cadavers were used. At the deltoid area (10 cm below the palpable acromion) and lateral thigh (midpoint from the palpable greater trochanter to the lateral border of the patella), and within a 3 × 6-cm fusiform area of skin, subcutaneous tissue defects were created. At the midpoint of the defect, a no. 5 silk suture was passed through the dermis at a 5-mm margin of the defect, and the defect was approximated. The initial tension to approximate the margins was measured using a tensiometer.The tension needed to approximate skin without any tension reduction suture (S) was 6.5 ± 4.6 N (Newton). The tensions needed to approximate superficial fascia (SF) and deep fascia (DF) were 7.8 ± 3.4 N and 10.3 ± 5.1 N, respectively. The tension needed to approximate the skin after approximating the SF was 4.1 ± 3.4 N. The tension needed to approximate the skin after approximating the DF was 4.9 ± 4.0 N. The tension reduction effect of approximating the SF was 38.8 ± 16.4% (2.4 ± 1.5 N, P = 0.000 [ANOVA, Scheffé]). The tension reduction effect of approximating the DF was 25.2% ± 21.9% (1.5 ± 1.4 N, P = 0.001 [ANOVA, Scheffé]). The reason for this is thought to be that the SF is located closely to the skin unlike the DF. The results of this study might be a basis for tension reduction sutures. PMID:25569413

Hwang, Kun; Kim, Han Joon; Kim, Kyung Yong; Han, Seung Ho; Hwang, Se Jin

2015-01-01

104

Achondroplasia and multiple-suture craniosynostosis.  

PubMed

Genetic mutations in the fibroblast growth factor receptor 3 gene may lead to achondroplasia or syndromic forms of craniosynostosis. Despite sharing a common genetic basis, craniosynostosis has rarely been described in cases of confirmed achondroplasia. We report an infant with achondroplasia who developed progressive multiple-suture craniosynostosis to discuss the genetic link between these clinical entities and to describe the technical challenges associated with the operative management. PMID:25502720

Albino, Frank P; Wood, Benjamin C; Oluigbo, Chima O; Lee, Angela C; Oh, Albert K; Rogers, Gary F

2015-01-01

105

Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a nonsyndromic patient.  

PubMed

Multiple-suture synostosis is typically associated with syndromic craniosynostosis but has been occasionally reported in large series of nonsyndromic children. The diagnosis of multiple fused sutures usually occurs at the same time, but rarely has the chronological development of a secondary suture synostosis been noted. The development of secondary bicoronal suture synostosis requiring surgical intervention has only been reported, to date, after surgical intervention and is hypothesized to arise from a disruption of inhibitory factors from the dura. The disinhibition of these factors permits the sutures to then fuse at an early stage. The authors report on a patient who developed secondary unilateral coronal synostosis after the diagnosis of an isolated sagittal synostosis. The secondary synostosis was identified at the time of the initial surgical intervention and ultimately required a second procedure of a frontoorbital advancement. The clinical appearance of this phenomenon may be subtle, and surgeons should monitor for the presence of secondary synostosis during surgery as it may require intervention. Failure to identify the secondary synostosis may necessitate another surgery or result in a poor cosmetic outcome. The authors recommend close clinical follow-up for the short term in patients with isolated sagittal synostosis. PMID:22295913

Rangel-Castilla, Leonardo; Hwang, Steven W; Jea, Andrew; Whitehead, William E; Curry, Daniel J; Luerssen, Thomas G; Dauser, Robert C

2012-02-01

106

Usefulness of biodegradable stents constructed of poly-l-lactic acid monofilaments in patients with benign esophageal stenosis  

PubMed Central

AIM: To report 13 patients with benign esophageal stenosis treated with the biodegradable stent. METHODS: We developed a Ultraflex-type stent by knitting poly-l-lactic acid monofilaments. RESULTS: Two cases were esophageal stenosis caused by drinking of caustic liquid, 4 cases were due to surgical resection of esophageal cancers, and 7 cases were patients with esophageal cancer who received the preventive placement of biodegradable stents for post-endoscopic mucosal dissection (ESD) stenosis. The preventive placement was performed within 2 to 3 d after ESD. In 10 of the 13 cases, spontaneous migration of the stents occurred between 10 to 21 d after placement. In these cases, the migrated stents were excreted with the feces, and no obstructive complications were experienced. In 3 cases, the stents remained at the proper location on d 21 after placement. No symptoms of re-stenosis were observed within the follow-up period of 7 mo to 2 years. Further treatment with balloon dilatation or replacement of the biodegradable stent was not required. CONCLUSION: Biodegradable stents were useful for the treatment of benign esophageal stenosis, particularly for the prevention of post-ESD stenosis. PMID:17663513

Saito, Yasuharu; Tanaka, Toyohiko; Andoh, Akira; Minematsu, Hideki; Hata, Kazunori; Tsujikawa, Tomoyuki; Nitta, Norihisa; Murata, Kiyoshi; Fujiyama, Yoshihide

2007-01-01

107

Needle Path Planning for Autonomous Robotic Surgical Suturing  

PubMed Central

This paper develops a path plan for suture needles used with solid tissue volumes in endoscopic surgery. The path trajectory is based on the best practices that are used by surgeons. The path attempts to minimize the interaction forces between the tissue and the needle. Using surgical guides as a basis, two different techniques for driving a suture needle are developed. The two techniques are compared in hardware experiments by robotically driving the suture needle using both of the motion plans. PMID:24683500

Jackson, Russell C.; Çavu?o?lu, M. Cenk

2013-01-01

108

Sox9 neural crest determinant gene controls patterning and closure of the posterior frontal cranial suture  

Microsoft Academic Search

Cranial suture development involves a complex interaction of genes and tissues derived from neural crest cells (NCC) and paraxial mesoderm. In mice, the posterior frontal (PF) suture closes during the first month of life while other sutures remain patent throughout the life of the animal. Given the unique NCC origin of PF suture complex (analogous to metopic suture in humans),

David E. Sahar; Michael T. LongakerT; Natalina QuartoT

2005-01-01

109

Neogene sutures in eastern Indonesia R. Hall*, M.E.J. Wilson1  

E-print Network

. These are the Molucca, Sorong, Sulawesi, Banda and Borneo sutures. Each of these sutures has a relatively short history. These are the Molucca, Sorong, Sulawesi, Banda and Borneo sutures (Fig. 2). The Borneo Suture is situated to this as eastern Indonesia. The account of the Sulawesi Suture is the work of both authors, whereas the accounts

Royal Holloway, University of London

110

Stiffness and strength of suture joints in nature  

E-print Network

Suture joints are remarkable mechanical structures found throughout nature composed of compliant interlocking seams connecting stiffer components. This study investigates the underlying mechanisms and the role of geometry ...

Li, Yaning

111

On application of fractal analysis to cranial sutures  

E-print Network

Fractal exponents ($d$) for human cranial sutures are calculated using the box counting method. The results were found around $d = 1.5$ (within the range $1.3\\div 1.7$), supporting the random walk model for the suture formation process. However, the calculated dispersion above the estimated accuracy suggests that other mechanisms are also present. Similar numbers were obtained for both the sagittal and coronal sutures, with the coronal sutures displaying a better scaling. Our results are compared with estimations published by other authors.

Andrzej Z. Gorski; Janusz Skrzat

2004-12-17

112

21 CFR 878.5010 - Nonabsorbable polypropylene surgical suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5010 Nonabsorbable polypropylene surgical suture. (a)...

2014-04-01

113

21 CFR 878.5010 - Nonabsorbable polypropylene surgical suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5010 Nonabsorbable polypropylene surgical suture. (a)...

2011-04-01

114

21 CFR 878.5010 - Nonabsorbable polypropylene surgical suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5010 Nonabsorbable polypropylene surgical suture. (a)...

2012-04-01

115

21 CFR 878.5010 - Nonabsorbable polypropylene surgical suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5010 Nonabsorbable polypropylene surgical suture. (a)...

2010-04-01

116

21 CFR 878.5010 - Nonabsorbable polypropylene surgical suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5010 Nonabsorbable polypropylene surgical suture. (a)...

2013-04-01

117

21 CFR 870.3460 - Endovascular Suturing System.  

Code of Federal Regulations, 2014 CFR

...FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Prosthetic Devices § 870.3460 Endovascular Suturing System. (a) Identification....

2014-04-01

118

21 CFR 870.3460 - Endovascular Suturing System.  

Code of Federal Regulations, 2013 CFR

...FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Prosthetic Devices § 870.3460 Endovascular Suturing System. (a) Identification....

2013-04-01

119

Visual Measurement of Suture Strain for Robotic Surgery  

PubMed Central

Minimally invasive surgical procedures offer advantages of smaller incisions, decreased hospital length of stay, and rapid postoperative recovery to the patient. Surgical robots improve access and visualization intraoperatively and have expanded the indications for minimally invasive procedures. A limitation of the DaVinci surgical robot is a lack of sensory feedback to the operative surgeon. Experienced robotic surgeons use visual interpretation of tissue and suture deformation as a surrogate for tactile feedback. A difficulty encountered during robotic surgery is maintaining adequate suture tension while tying knots or following a running anastomotic suture. Displaying suture strain in real time has potential to decrease the learning curve and improve the performance and safety of robotic surgical procedures. Conventional strain measurement methods involve installation of complex sensors on the robotic instruments. This paper presents a noninvasive video processing-based method to determine strain in surgical sutures. The method accurately calculates strain in suture by processing video from the existing surgical camera, making implementation uncomplicated. The video analysis method was developed and validated using video of suture strain standards on a servohydraulic testing system. The video-based suture strain algorithm is shown capable of measuring suture strains of 0.2% with subpixel resolution and proven reliability under various conditions. PMID:21436874

Martell, John; Elmer, Thomas; Gopalsami, Nachappa; Park, Young Soo

2011-01-01

120

New suture materials for midline laparotomy closure: an experimental study  

PubMed Central

Background Midline laparotomy closure carries a significant risk of incisional hernia. This study examines the behavior of two new suture materials, an elastic material, polyurethane (PUe), and a barbed polydioxanone (PDXb) suture thread in a rabbit model of midline incision closure. Methods Three 2-cm midline incisions were made in 68 New Zealand White rabbits. The incisions were closed by running suture using four 3/0 threads: polypropylene (PP) (Surgipro®, Covidien), PUe (Assuplus®, Assut Europe), PDX (Assufil®, Assut Europe) or PDXb (Filbloc®, Assut Europe). Animals in each suture group were euthanized 3?weeks and 6?months after surgery. Histological sections of the tissue-embedded sutures were subjected to morphological, collagen expression, macrophage response and uniaxial tensiometry studies. Results No signs of wound dehiscence or complications were observed. At 3?weeks, all sutures were surrounded by connective tissue composed mainly of collagen III. PUe showed greater collagen I expression than the other sutures. All sutures elicited a macrophage response that diminished from 3?weeks to 6?months (p?sutures (PP and PUe) yet PDXb showed a significantly greater response than the other reabsorbable suture (PDX) at 3?weeks (p??0.05). Conclusion Three weeks after surgery, PUe revealed more collagen I deposition than the remaining materials and this translated to a similar biomechanical behavior to linea alba, that could avoid the appearance of short term dehiscences and thus reduce the incidence of incisional hernia. PDXb provides no additional advantages in their behavior regarding PDX suture. PMID:25231161

2014-01-01

121

In vivo cranial suture function and suture morphology in the extant fish Polypterus: implications for inferring skull function in living and fossil fish  

Microsoft Academic Search

This study describes the mechanical role that cranial sutures play in fish during feeding. The long-term goal of our work is to establish relationships between suture form and function, so that functional inferences can be made from suture morphology in fossil taxa. To this end, strain gauges were surgically implanted across selected sutures in the skull roof of four individuals

Molly J. Markey; Russell P. Main; Charles R. Marshall

2006-01-01

122

Assessment of surgical sutures POLYMED(®) by intracutaneous irritation test in rabbits.  

PubMed

The aim of the present study was to evaluate local irritant effects to rabbit skin following a single application of test samples of non-sterile polyamide non-absorbable surgical sutures POLYMED(®). The polar and nonpolar extracts were prepared by using saline solution and olive oil, respectively, after sinking the materials tested (2.0 g) in 10 ml of the corresponding liquid. Incubation was carried out at the temperature of 37 °C for 72 h. The saline solution and pure olive oil, which had no contact with the materials tested, were used as negative control samples and were incubated under the same conditions as above. Assessments of the extracts from each material were conducted on 2 albino rabbits of the New Zealand breed. On the back of each animal, 5 intracutaneous injections of the extract tested and 5 injections of the control solution, each of 0.2 ml, were carried out. The degree of irritation was scored at 4, 24, 48, 72 hours after injection and no skin changes were found. The intracutaneous irritation index (III) was calculated and yielded 0.0. Hence it was concluded that under the experimental conditions the extracts of the material tested, i.e. non-sterile polyamide non-absorbable surgical sutures POLYMED(®), were 'non-irritant' to the skin of rabbits when compared with the respective control groups. The experimental procedure was conducted according to ISO10993-10. PMID:24179436

Simeonova, Rumyana; Danchev, Nikolai

2013-06-01

123

Assessment of surgical sutures POLYMED® by intracutaneous irritation test in rabbits  

PubMed Central

The aim of the present study was to evaluate local irritant effects to rabbit skin following a single application of test samples of non-sterile polyamide non-absorbable surgical sutures POLYMED®. The polar and nonpolar extracts were prepared by using saline solution and olive oil, respectively, after sinking the materials tested (2.0 g) in 10 ml of the corresponding liquid. Incubation was carried out at the temperature of 37 °C for 72 h. The saline solution and pure olive oil, which had no contact with the materials tested, were used as negative control samples and were incubated under the same conditions as above. Assessments of the extracts from each material were conducted on 2 albino rabbits of the New Zealand breed. On the back of each animal, 5 intracutaneous injections of the extract tested and 5 injections of the control solution, each of 0.2 ml, were carried out. The degree of irritation was scored at 4, 24, 48, 72 hours after injection and no skin changes were found. The intracutaneous irritation index (III) was calculated and yielded 0.0. Hence it was concluded that under the experimental conditions the extracts of the material tested, i.e. non-sterile polyamide non-absorbable surgical sutures POLYMED®, were ‘non-irritant’ to the skin of rabbits when compared with the respective control groups. The experimental procedure was conducted according to ISO10993-10. PMID:24179436

Danchev, Nikolai

2013-01-01

124

New Bactericidal Surgical Suture Coating Kushi N. Kumar,,  

E-print Network

.4 wt %) than Vicryl Plus sutures (0.5 log10 reduction). INTRODUCTION Surgical site infections (SSIsNew Bactericidal Surgical Suture Coating Yan Li, Kushi N. Kumar,, Jeffrey M. Dabkowski,, Meagan) are some of the most common nosocomial infections, and most are localized at the incision.1,2 SSIs result

Tew, Gregory N.

125

Structural grafts and suture techniques in functional and aesthetic rhinoplasty  

PubMed Central

Rhinoplasty has undergone important changes. With the advent of the open structure approach, requirements for structural grafting and direct manipulation of the cartilaginous skeleton through suture techniques have increased substantially. The present review analyzes the current literature on frequently referenced structural grafts and suture techniques. Individual techniques are described and their utility is discussed in light of available studies and data. PMID:22073105

Gassner, Holger G.

2011-01-01

126

Suture granuloma simulating lung neoplasm occurring after segmentectomy.  

PubMed Central

A suture granuloma was resected which developed after segmentectomy of a squamous cell carcinoma of the lung and radiologically mimicked a neoplasm. This report emphasises that although the appearance of the lesion may be typical for malignancy, the possibility of a benign suture granuloma should be considered, especially if the lesion appears shortly after surgery. Images PMID:8511744

Fink, G; Herskovitz, P; Nili, M; Hadar, H; Rothem, A; Spitzer, S A

1993-01-01

127

Arthroscopic hip labral repair: the iberian suture technique.  

PubMed

Arthroscopic hip labral repair has beneficial short-term outcomes; however, debate exists regarding ideal surgical labral repair technique. This technical note presents an arthroscopic repair technique that uses intrasubstance labral suture passage to restore the chondrolabral interface. This "Iberian suture technique" allows for an anatomic repair while posing minimal risk of damage to the labral and chondral tissues. PMID:25126502

Stubbs, Allston J; Andersen, Jason S; Mannava, Sandeep; Wooster, Benjamin M; Howse, Elizabeth A; Winter, S Bradley

2014-06-01

128

Novel Suture Device for Beating-Heart Mitral Leaflet Approximation  

Microsoft Academic Search

Background. This investigation evaluates the potential of using a novel suturing device to achieve mitral valve repair (Alfieri type) on a beating heart without cardiopul- monary bypass. Methods. Eight healthy adult sheep were anesthetized and the chest was opened via a left thoracotomy. The suture device was directly inserted into the appendage of the left atrium. Suction ports on the

Ottavio Alfieri; John A. Elefteriades; Robert J. Chapolini; Robert Steckel; William J. Allen; Scott W. Reed; Stefan Schreck

2010-01-01

129

Arthroscopic Hip Labral Repair: The Iberian Suture Technique  

PubMed Central

Arthroscopic hip labral repair has beneficial short-term outcomes; however, debate exists regarding ideal surgical labral repair technique. This technical note presents an arthroscopic repair technique that uses intrasubstance labral suture passage to restore the chondrolabral interface. This “Iberian suture technique” allows for an anatomic repair while posing minimal risk of damage to the labral and chondral tissues. PMID:25126502

Stubbs, Allston J.; Andersen, Jason S.; Mannava, Sandeep; Wooster, Benjamin M.; Howse, Elizabeth A.; Winter, S. Bradley

2014-01-01

130

Skull fracture vs. accessory sutures: how can we tell the difference?  

E-print Network

K (2003) Unusual accessory cranial sutures in pediatric headcranial CT is deemed clinically necessary in trauma patients, questionable fractures can be confidently differen- tiated from unusual accessory sutures

Sanchez, Thomas; Stewart, Deborah; Walvick, Matthew; Swischuk, Leonard

2010-01-01

131

Laparoscopic Myomectomy with Aquadissection and Barbed Sutures  

PubMed Central

The objective of this study was to evaluate the efficacy of aquadissection technique to reduce the blood loss in myomectomy and to assess the benefits and feasibility of the use of barbed suture for myometrial defect closure. Vasopressin is diluted with saline as 10 units of vasopressin for every 100 ml of saline. For a fibroid of about 8 cm size, 40 units of vasopressin is diluted in 400 ml of normal saline. The whole of 400 ml of this saline is injected in the myometrium. Incision is made on the uterus with just simple scissors (no energy source is required). As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection. PMID:22442536

Modi, Rajesh

2011-01-01

132

Ectocranial suture fusion in primates: pattern and phylogeny.  

PubMed

Patterns of ectocranial suture fusion among Primates are subject to species-specific variation. In this study, we used Guttman Scaling to compare modal progression of ectocranial suture fusion among Hominidae (Homo, Pan, Gorilla, and Pongo), Hylobates, and Cercopithecidae (Macaca and Papio) groups. Our hypothesis is that suture fusion patterns should reflect their evolutionary relationship. For the lateral-anterior suture sites there appear to be three major patterns of fusion, one shared by Homo-Pan-Gorilla, anterior to posterior; one shared by Pongo and Hylobates, superior to inferior; and one shared by Cercopithecidae, posterior to anterior. For the vault suture pattern, the Hominidae groups reflect the known phylogeny. The data for Hylobates and Cercopithecidae groups is less clear. The vault suture site termination pattern of Papio is similar to that reported for Gorilla and Pongo. Thus, it may be that some suture sites are under larger genetic influence for patterns of fusion, while others are influenced by environmental/biomechanic influences. PMID:24142900

Cray, James; Cooper, Gregory M; Mooney, Mark P; Siegel, Michael I

2014-03-01

133

Scleral necrosis secondary to nonabsorbable suture following ptosis surgery.  

PubMed

We report a unique case of persistent scleral ulceration in a 68-year-old woman who developed eye redness, pain, and photophobia 2 days following external levator advancement with nonabsorbable suture. Slit-lamp biomicroscopy revealed an area of scleral ulceration superonasal to the limbus. The patient was treated with 6 months of topical steroids with some improvement in her condition but without complete resolution. An exposed suture or foreign body was never directly visualized; however, a mobile nodule was noted upon palpation of the eyelid. Subsequent surgical eyelid exploration revealed a retained polypropylene suture, which was dissected free and removed. Postoperatively, the area of scleral ulceration resolved completely. PMID:23274808

Meghpara, Beeran; Lee, Seongmu; Yen, Michael T

2013-01-01

134

Comparing historical catch rates of American shad in multifilament and monofilament nets: A step toward setting restoration targets for Virginia stocks  

USGS Publications Warehouse

Recreational and commercial harvest of American shad Alosa sapidissima in the Virginia waters of the Chesapeake Bay and its tributaries has been prohibited since 1994. The Atlantic States Marine Fisheries Commission Shad and River Herring Management Plan requires that Virginia develop restoration targets for its shad populations, but estimates of their sizes are not available and there is little information about historic population levels. Thus, establishing restoration targets based on population size is problematic. A current spawning stock monitoring program yields catch rate information that can be compared with historic catch rate information recorded in commercial fishery logbooks from the 1950s and the 1980s. However, multifilament gill nets were used in the 1950s and monofilament nets were used in the 1980s (as well as in the current monitoring program). A Latin square design was employed to test the differences in relative fishing power of the two gear types over 2 years of seasonal sampling on the York River, Virginia. Estimates are that the monofilament nets are roughly twice as efficient as the multifilament nets. Reported catch rates in the 1950s and 1980s are roughly equivalent. However, when adjustments are made for the differences in fishing gear, catch rates for the 1950s are twice as high as those during the 1980s. These results provide valuable information for setting restoration targets for Virginia stocks of American shad. ?? Copyright by the American Fisheries Society 2006.

Maki, K.L.; Hoenig, J.M.; Olney, J.E.; Heisey, D.M.

2006-01-01

135

Randomized Comparison of Nylon Versus Absorbing Polyglactin 910 for Fascial Closure in Caesarean Section  

PubMed Central

Background: Regardless of numerous advances in surgical techniques, selection of the best technique to sew up wounds and the best suture material are still controversial. Several postoperative complications, including wound infection, stitched wound, chronic incision pain, wound dehiscence and hernia stitches result from many factors such as used suture material. Objectives: The aim of the present study was to investigate the complications of pfannenstiel incision and nylon/ polyglactin 910 sutures utilization in patients undergoing c-section cesarean. Patients and Methods: This clinical trial was conducted on 120 women who underwent caesarean section at Imam-Ali hospital in Zabol, Iran. In this study, patients were equally divided into two groups of 60 people (50% in nylon suture and 50% in polyglactin 910 sutures). Patients of the two groups were investigated by a gynecologist 24-48 hours after the operation, a week later and on the sixth month of surgery. Moreover, time of wound dehiscence and treatment duration, the level of sinus infection, chronic incision pain and incision hernia were studied. The results were analyzed by SPSS software. P ? 0.05 was considered as statistically signi?cant. Results: One hundred and twenty patients undergoing a cesarean section at Imam-Ali hospital in Zabol were recruited into the study, 60 in the Nylon group and 60 in Polyglactin 910group. Our data demonstrated a statistically higher incidence of suture sinus and chronic incision pain in the nylon group (P < 0.05). No statistically signi?cant difference in wound stitch and incision hernia was demonstrated between the suture groups. Conclusions: The results of our trial did not demonstrate a significant difference between absorbing polyglactin 910 (PDS) and nylon regarding incision hernia, wound infection and wound dehiscence. However, subjects sutured with PDS were less likely to experience chronic incision pain and wound stitch. Therefore, PDS appears to be the optimal choice for fascial closure after cesarean section. PMID:24910791

Rezaie Kahkhaie, Kolsoum; Rezaie Keikhaie, Khadije; Shahreki Vahed, Aziz; Shirazi, Mahboobeh; Amjadi, Nooshin

2014-01-01

136

The Paleotethys suture in Central Iran  

NASA Astrophysics Data System (ADS)

The Triassic rocks of the Nakhlak area have been used to justify the hypothesis of the rotation of the Central-East Iranian microplate, mainly based on paleomagnetic data. Davoudzadeh and his coworkers (1981) pointed out the existing contrast between the Nakhlakh succession and the time-equivalent lithostratigraphic units exposed in the surrounding regions and compared them with the Triassic rocks of the Aghdarband area on the southern edge of the Turan plate. We recently gathered evidences that this part of central Iran effectively belongs to the Northern Iranian Paleo-Tethys suture zone and related Variscan terrains of the Turan plate. This is the case for the northwestern part of central Iran, where the Anarak-Khur belt (Anarak schists and their thick Cretaceous-Paleocene sedimentary cover) presents all the elements of an orogenic zone such as dismembered ophiolites and silisiclastics, calcareous and volcanic cover which has been deformed and metamorphosed. This belt is separated to the northwest from the Alborz microcontinent by the Great Kavir fault and Cretaceous ophiolite mélanges. To the southeast it is bounded by the Biabanak fault and serpentinites and the Biabanak block, part of the central-east Iranian plate. The later zone is formed by Proterozoic metamorphic basement and marine sedimentary cover, nearly continuous from the Ordovician to the Triassic, at the uppermost part upper Triassic-lower Jurassic bauxites and silisiclastics are observed. Excepted the Ordovician angular unconformities and the boundary between lower Jurassic and younger layers, this sequence displays no significant main unconformities and can be attributed to the Cimmerian super-terrain. Thus, this sequences represents the classical evolution of the southern Paleo-Tethys passive margin, as found in the Alborz microcontinent or the Band-e Bayan zone of Afghanistan and is the witness of large scale duplication of the Paleo-Tethys suture zone through major Alpine strike-slip faults. Within the Anarak-Khur belt limit and to the northeast of the Nakhlak succession, the area of Godar-e Siah of Jandaq, remnants of the Eurasian active margin are found, represented by: 1- A lower Paleozoic to upper Devonian unit consisting mainly of metamorphosed rocks including ophiolitic rocks, pelagic sediments, flysch-like deposits and shallow-water limestones of Devonian age belonging to the Anarak and Kabudan areas. Folding and thrusting was pre-Carboniferous and all geochronological dating based on K/Ar for the Anarak and Kaboudan schists placed this metamorphic event between middle Devonian and Visean. 2- the main part of the lower Carboniferous unit consists of a volcano-sedimentary complex with intercalations of limestone containing Coral, Brachiopod and Foraminiferas. Pyroclastic deposits are followed by continental red beds containing a great variety of grain types, such as hypabyssal to several types of granitoid rock fragments derived from the arc, accompanied by pebbles of chert, fossiliferous carbonate and serpentinite recycled from the accretionary complex, pointing to a fore-arc environment of deposition. 3- The middle Carboniferous to Permian unit consists of coarse littoral conglomerate and sandstones derived from ophiolitic to felsic material with some platform limestones. They represent the final infill of the fore-arc basin and rest unconformably on both the metamorphites and Lower Carboniferous units. These tectono-stratigraphic units are similar to the western Hindu Kush sequences of Afghanistan and Tuarkyr in Turkmenistan and belong to the northern active margin of Paleo-Tethys. Therefore, the Anarak-Khur belt was part of the Variscan terranes located along this margin. Volcano-sedimentary strata with Conodont-bearing limestones of Permian to Triassic age have been found in direct contact with the Biabanak fault which, therefore, is most likely following and reactivating the Paleo-Tethys suture zone.

Bagheri, S.; Stampfli, G. M.

2003-04-01

137

21 CFR 878.4495 - Stainless steel suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4495 Stainless steel suture. (a) Identification. A stainless steel...

2010-04-01

138

21 CFR 878.5020 - Nonabsorbable polyamide surgical suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5020 Nonabsorbable polyamide surgical suture. (a) Identification....

2012-04-01

139

21 CFR 878.5030 - Natural nonabsorbable silk surgical suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5030 Natural nonabsorbable silk surgical suture. (a) Identification....

2011-04-01

140

21 CFR 878.5030 - Natural nonabsorbable silk surgical suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5030 Natural nonabsorbable silk surgical suture. (a) Identification....

2013-04-01

141

21 CFR 878.5020 - Nonabsorbable polyamide surgical suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5020 Nonabsorbable polyamide surgical suture. (a) Identification....

2013-04-01

142

21 CFR 878.5030 - Natural nonabsorbable silk surgical suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5030 Natural nonabsorbable silk surgical suture. (a) Identification....

2012-04-01

143

21 CFR 878.4495 - Stainless steel suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4495 Stainless steel suture. (a) Identification. A stainless steel...

2014-04-01

144

21 CFR 878.5020 - Nonabsorbable polyamide surgical suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5020 Nonabsorbable polyamide surgical suture. (a) Identification....

2014-04-01

145

21 CFR 878.5030 - Natural nonabsorbable silk surgical suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5030 Natural nonabsorbable silk surgical suture. (a) Identification....

2014-04-01

146

21 CFR 878.4495 - Stainless steel suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4495 Stainless steel suture. (a) Identification. A stainless steel...

2011-04-01

147

21 CFR 878.4495 - Stainless steel suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4495 Stainless steel suture. (a) Identification. A stainless steel...

2012-04-01

148

21 CFR 878.5030 - Natural nonabsorbable silk surgical suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5030 Natural nonabsorbable silk surgical suture. (a) Identification....

2010-04-01

149

21 CFR 878.5020 - Nonabsorbable polyamide surgical suture.  

Code of Federal Regulations, 2010 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5020 Nonabsorbable polyamide surgical suture. (a) Identification....

2010-04-01

150

21 CFR 878.5020 - Nonabsorbable polyamide surgical suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5020 Nonabsorbable polyamide surgical suture. (a) Identification....

2011-04-01

151

21 CFR 878.4495 - Stainless steel suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.4495 Stainless steel suture. (a) Identification. A stainless steel...

2013-04-01

152

Crustal structure south of the Iapetus suture beneath northern England  

Microsoft Academic Search

The crustal structure just south of the Iapetus suture1 along a line extending from the mid-North Sea high across northern England to the Solway Basin has been investigated as part of the Caledonian Suture Seismic Experiment of 1982. This unique sea-to-land wide-angle explosion seismology project has produced data of unprecedented quantity and quality. The main innovation was the use of

M. H. P. Bott; R. E. Long; A. S. P. Green; A. H. J. Lewis; M. C. Sinha; D. L. Stevenson

1985-01-01

153

Geological evidence against the Shyok palaeo-suture, Ladakh Himalaya  

Microsoft Academic Search

Evolution of the Ladakh Himalaya is related to the Cretaceous-Tertiary subduction of the Indian oceanic plate below the southern margin of the Eurasian plate along the Indus suture zone1-11. The plate tectonic reconstruction suggests two stages of subduction due to the presence of a pre-Cretaceous suture along the Shyok valley12,13. This hypothesis is based on there being ophiolite belts in

Hakim Rai

1982-01-01

154

Continuous abdominal fascial closure: a randomized controlled trial of poly( l-lactide\\/glycolide)  

Microsoft Academic Search

ObjectiveThe objective was to compare the handling characteristics and ?6 month clinical outcome using a No. 1 long-term absorbable multifilament suture poly(l-lactide\\/glycolide) (PLG) or the permanent monofilament (No. 1) polypropolene using a continuous fascial closure.

James W Orr; Fredrick J Montz; James Barter; Steven D Schaitzberg; James E Delmore; Mark K Dodson; Donald Gallup; Karen A Yeh; E. George Elias

2003-01-01

155

Cranial tip suture in nasal tip contouring.  

PubMed

The creation of both a functionally and aesthetically pleasing nasal tip contour is demanding and depends on various different parameters. Typically, procedures are performed with emphasis on narrowing the nasal tip structure. Excisional techniques alone inevitably lead to a reduction in skeletal support and are often prone to unpredictable deformities. But also long-term results of classical suture techniques have shown unfavorable outcomes. Particularly, pinching of the ala and a displacement of the caudal margin of the lateral crus below the cephalic margin belong to this category. A characteristic loss of structural continuity between the domes and the alar lobule and an undesirable shadowing occur. These effects lead to an unnatural appearance of the nasal tip and frequently to impaired nasal breathing. Stability and configuration of the alar cartilages alone do not allow for an adequate evaluation of the nasal tip contour. Rather a three-dimensional approach is required to describe all nasal tip structures. Especially, the rotational angle of the alar surface as well as the longitudinal axis of the lateral crus in relation to cranial septum should be considered in the three-dimensional analysis. Taking the various parameters into account, the authors present new aspects in nasal tip surgery which contribute to the creation of a functionally and aesthetically pleasing as well as durable nasal tip contour. PMID:25536137

Kovacevic, Milos; Wurm, Jochen

2014-12-01

156

Sutured tendon repair; a multi-scale finite element model.  

PubMed

Following rupture, tendons are sutured to reapproximate the severed ends and permit healing. Several repair techniques are employed clinically, with recent focus towards high-strength sutures, permitting early active mobilisation thus improving resultant joint mobility. However, the arrangement of suture repairs locally alters the loading environment experienced by the tendon. The extent of the augmented stress distribution and its effect on the tissue is unknown. Stress distribution cannot be established using traditional tensile testing, in vivo, or ex vivo study of suture repairs. We have developed a 3D finite element model of a Kessler suture repair employing multiscale modelling to represent tendon microstructure and incorporate its highly orthotropic behaviour into the tissue description. This was informed by ex vivo tensile testing of porcine flexor digitorum profundus tendon. The transverse modulus of the tendon was 0.2551 [Formula: see text] 0.0818 MPa and 0.1035 [Formula: see text] 0.0454 MPa in proximal and distal tendon samples, respectively, and the interfibrillar tissue modulus ranged from 0.1021 to 0.0416 MPa. We observed an elliptically shaped region of high stress around the suture anchor, consistent with a known region of acellularity which develop 72 h post-operatively and remain for at least a year. We also observed a stress shielded region close to the severed tendon ends, which may impair collagen fibre realignment during the remodelling stage of repair due to the lack of tensile stress. PMID:24840732

Rawson, Shelley D; Margetts, Lee; Wong, Jason K F; Cartmell, Sarah H

2015-01-01

157

External Dacryocystorhinostomy with and Without Suturing the Posterior Mucosal Flaps  

PubMed Central

ABSTRACT Purpose: To evaluate the outcome of the external dacryocystorhinostomy with and without suturing the posterior mucosal flaps. Methods: This study included 106 patients with lacrimal drainage system disorders who underwent the external dacryocystorhinostomy. Fifty four patients (Group A) underwent external dacryocystorhinostomy with suturing anterior and posterior flaps of the lacrimal sac and nasal mucosa, and the results obtained were compared with those of another series of 52 patients (Group B) where dacryocystorhinostomy was performed with suturing only the anterior flaps, whereas posterior mucosal flaps were excised. Results: The success rate was evaluated by lacrimal patency to irrigation and relief of epiphora. Patency achieved in groups A and B was 94.4% and 96.2%, respectively. There was no statistically significant difference in success rate between the groups. Conclusion: Our study suggests that external dacryocystorhinostomy with suturing anterior and posterior flaps have no advantage over dacryocystorhinostomy with suturing only anterior flaps. Anastomosis by suturing only anterior flaps and excision of the posterior flaps is easier to perform and may improve the success rate of external dacryocystorhinostomy. PMID:24783915

Kaçaniku, Gazmend; Begolli, Ilir

2014-01-01

158

First investigation of spider silk as a braided microsurgical suture.  

PubMed

Inhibition of axonal outgrowth accompanied by neuroma formation appears in microsurgical nerve repair as reaction to common microsuture materials like silk, nylon, or polyglycolic acid. In contrast, recent findings revealed advantages of spider silk fibers in guiding Schwann cells in nerve regeneration. Here, we asked if we could braid microsutures from native spider silk fibers. Microsutures braided of native spider dragline silk were manufactured, containing either 2 × 15 or 3 × 10 single fibres strands. Morphologic appearance was studied and tensile strength and stress-strain ratio (SSR) were calculated. The constructed spider silk sutures showed a median thickness of 25 ?m, matching the USP definition of 10-0. Maximum load and tensile strength for both spider silk microsutures were significantly more than 2-fold higher than for nylon suture; SSR was 1.5-fold higher. All values except elasticity were higher in 3 × 10 strand sutures compared to 2 × 15 strand sutures, but not significantly. In this pilot study, we demonstrate the successful manufacture of microsutures from spider silk. With regards to the mechanical properties, these sutures were superior to nylon sutures. As spider silk displays high biocompatibility in nerve regeneration, its usage in microsurgical nerve repair should be considered. PMID:21432995

Kuhbier, Joern W; Reimers, Kerstin; Kasper, Cornelia; Allmeling, Christina; Hillmer, Anja; Menger, Björn; Vogt, Peter M; Radtke, Christine

2011-05-01

159

Age estimation by multidetector CT images of the sagittal suture.  

PubMed

Closure of cranial sutures progresses with age; therefore, macroscopic assessment of cranial sutures has been used as one method of age estimation. Postmortem computed tomography (PMCT), which many forensic medical departments and institutes have begun to adopt, has the potential to simplify the gathering of information from cranial sutures for both surface and cross-sectional evaluation. To examine the feasibility of age estimation by cross-sectional multidetector computed tomography images of the sagittal suture, PMCT findings of 125 subjects of known age and sex were retrospectively reviewed. The sagittal suture was divided into four segments, and 20 cross-sectional slices from each segment were analyzed. These slices were each categorized by visual evaluation into one of the seven stages defined by Harth et al. according to the degree of closure. The mean stage value of 20 slices was calculated for each segment. We were able to evaluate cross-sectional images of the sagittal suture by PMCT, and a positive correlation between age and closure degree was observed. Despite the prediction interval achieved with this method not being superior to traditional macroscopic or flat-panel CT assessment, multidetector CT is a potentially useful tool, in conjunction with other methods, for age estimation, particularly in adult females and in cases where only a skull is the sole remain. PMID:23760604

Chiba, Fumiko; Makino, Yohsuke; Motomura, Ayumi; Inokuchi, Go; Torimitsu, Suguru; Ishii, Namiko; Sakuma, Ayaka; Nagasawa, Sayaka; Saitoh, Hisako; Yajima, Daisuke; Hayakawa, Mutsumi; Odo, Yuriko; Suzuki, Yoichi; Iwase, Hirotaro

2013-09-01

160

Shyok Suture Zone, N Pakistan: late Mesozoic–Tertiary evolution of a critical suture separating the oceanic Ladakh Arc from the Asian continental margin  

Microsoft Academic Search

The Shyok Suture Zone (Northern Suture) of North Pakistan is an important Cretaceous-Tertiary suture separating the Asian continent (Karakoram) from the Cretaceous Kohistan–Ladakh oceanic arc to the south. In previously published interpretations, the Shyok Suture Zone marks either the site of subduction of a wide Tethyan ocean, or represents an Early Cretaceous intra-continental marginal basin along the southern margin of

Alastair H. F. Robertson; Alan S. Collins

2002-01-01

161

Changes in Biomechanical Strain and Morphology of Rat Calvarial Sutures and Bone after Tgf-?3 Inhibition of Posterior Interfrontal Suture Fusion  

PubMed Central

Craniofacial sutures are bone growth fronts that respond and adapt to biomechanical environments. Little is known of the role sutures play in regulating the skull biomechanical environment during patency and fusion conditions, especially how delayed or premature suture fusion will impact skull biomechanics. Tgf-?3 has been shown to prevent or delay suture fusion over the short term in rat skulls, yet the long-term patency or its consequences in treated sutures is not known. It was therefore hypothesized that Tgf-?3 had a long-term impact to prevent suture fusion and thus alter the skull biomechanics. In this study, collagen gels containing 3 ng Tgf-?3 were surgically placed superficial to the posterior interfrontal suture and deep to the periosteum in postnatal day 9 (P9) rats. At P9, P24, and P70, biting forces and strains over left parietal bone, posterior interfrontal suture, and sagittal suture were measured with masticatory muscles bilaterally stimulated, after which the rats were sacrificed and suture patency analyzed histologically. Results demonstrated that Tgf-?3 treated sutures showed less fusion over time than control groups, and strain patterns in the skulls of the Tgf-?3 treated group were different from that of the control group. While bite force increased with age, no alterations in bite force were attributable to Tgf-?3 treatment. These findings suggest that the continued presence of patent sutures can affect strain patterns, perhaps when higher bite forces are present as in adult animals. PMID:22528365

Shibazaki-Yorozuya, Reiko; Wang, Qian; Dechow, Paul C.; Maki, Koutaro; Opperman, Lynne A.

2012-01-01

162

Disposable circumcision suture device: clinical effect and patient satisfaction.  

PubMed

In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group (P < 0.001). Intra-operative pain was less in the suture device group compared with the other two groups (P < 0.001); whereas post-operative pain was higher in the conventional group compared to the other two groups (P < 0.001). Patients in the suture device (80.57%) and Shang ring (73.57%) groups were more satisfied with penile appearances compared with the conventional circumcision group (20.06%, P < 0.05). Patients in suture device group also healed markedly faster than the conventional group (P < 0.01). The overall satisfaction rate was better in the suture device group (78.66%) compared with the conventional (47.13%) and Shang ring (50.00%) groups (P < 0.05). The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances. PMID:24759586

Lv, Bo-Dong; Zhang, Shi-Geng; Zhu, Xuan-Wen; Zhang, Jie; Chen, Gang; Chen, Min-Fu; Shen, Hong-Liang; Pei, Zai-Jun; Chen, Zhao-Dian

2014-01-01

163

Disposable circumcision suture device: clinical effect and patient satisfaction  

PubMed Central

In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group (P < 0.001). Intra-operative pain was less in the suture device group compared with the other two groups (P < 0.001); whereas post-operative pain was higher in the conventional group compared to the other two groups (P < 0.001). Patients in the suture device (80.57%) and Shang ring (73.57%) groups were more satisfied with penile appearances compared with the conventional circumcision group (20.06%, P < 0.05). Patients in suture device group also healed markedly faster than the conventional group (P < 0.01). The overall satisfaction rate was better in the suture device group (78.66%) compared with the conventional (47.13%) and Shang ring (50.00%) groups (P < 0.05). The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances. PMID:24759586

Lv, Bo-Dong; Zhang, Shi-Geng; Zhu, Xuan-Wen; Zhang, Jie; Chen, Gang; Chen, Min-Fu; Shen, Hong-Liang; Pei, Zai-Jun; Chen, Zhao-Dian

2014-01-01

164

Study of Insertion Force and Deformation for Suturing With Precurved NiTi Guidewire.  

PubMed

This research presents an experimental study evaluating stomach suturing using a precurved nickel-titanium (NiTi) guidewire for an endoscopic minimally invasive obesity treatment. Precise path planning is critical for accurate and effective suturing. A position measurement system utilizing a hand-held magnetic sensor was used to measure the shape of a precurved guidewire and to determine the radius of curvature before and after suturing. Ex vivo stomach suturing experiments using four different guidewire tip designs varying the radius of curvature and bevel angles were conducted. The changes in radius of curvature and suturing force during suturing were measured. A model was developed to predict the guidewire radius of curvature based on the measured suturing force. Results show that a small bevel angle and a large radius of curvature reduce the suturing force and the combination of small bevel angle and small radius of curvature can maintain the shape of guidewire for accurate suturing. PMID:25480363

Wang, Yancheng; Chen, Roland K; Tai, Bruce L; Xu, Kai; Shih, Albert J

2015-04-01

165

Anatomic features of metopic suture in adult dry skulls.  

PubMed

The metopic suture (MS) lies on the midline of the forehead and extends from the frontal bone to the root of the nose. The aim of the current study was to evaluate morphologic features of the complete and incomplete MSs of skulls in the West Anatolian population and rates of the suture types. One hundred sixty crania of West Anatolian people with unknown ages and sex belonging to the anatomy department laboratory of Dokuz Eylül University Medical School were examined. When the MSs that extend from the nasion to the bregma are complete, this condition was named as metopism. The length of the complete sutures was measured using a flexible millimeter calibrated ruler. If the suture was not present throughout between these 2 landmarks (nasion and bregma), these were considered as the incomplete MSs. The incomplete MSs were classified as linear, V-shaped, and double types. The incidence of the complete and incomplete sutures was 75%. The complete (metopism) and incomplete MSs were found in 7.50% and 67.50% of the skulls, respectively. The most common type was linear (39.40%), followed by double shaped (23.10%) and V shaped (5%). The mean length of the complete MS was 12.30 cm. Because the localization and types of MSs are important during clinical approaches, while evaluating patients with head trauma in the emergency department, these should be considered. PMID:24699103

Aksu, Funda; Cirpan, Sibel; Mas, Nuket Gocmen; Karabekir, Selim; Magden, Abdurrahman Orhan

2014-05-01

166

Selective laser vaporization of polypropylene sutures and mesh  

NASA Astrophysics Data System (ADS)

Complications from polypropylene mesh after surgery for female stress urinary incontinence (SUI) may require tedious surgical revision and removal of mesh materials with risk of damage to healthy adjacent tissue. This study explores selective laser vaporization of polypropylene suture/mesh materials commonly used in SUI. A compact, 7 Watt, 647-nm, red diode laser was operated with a radiant exposure of 81 J/cm2, pulse duration of 100 ms, and 1.0-mm-diameter laser spot. The 647-nm wavelength was selected because its absorption by water, hemoglobin, and other major tissue chromophores is low, while polypropylene absorption is high. Laser vaporization of ~200-?m-diameter polypropylene suture/mesh strands, in contact with fresh urinary tissue samples, ex vivo, was performed. Non-contact temperature mapping of the suture/mesh samples with a thermal camera was also conducted. Photoselective vaporization of polypropylene suture and mesh using a single laser pulse was achieved with peak temperatures of 180 and 232 °C, respectively. In control (safety) studies, direct laser irradiation of tissue alone resulted in only a 1 °C temperature increase. Selective laser vaporization of polypropylene suture/mesh materials is feasible without significant thermal damage to tissue. This technique may be useful for SUI procedures requiring surgical revision.

Burks, David; Rosenbury, Sarah B.; Kennelly, Michael J.; Fried, Nathaniel M.

2012-02-01

167

Recognizing surgeon's actions during suture operations from video sequences  

NASA Astrophysics Data System (ADS)

Because of the shortage of nurses in the world, the realization of a robotic nurse that can support surgeries autonomously is very important. More specifically, the robotic nurse should be able to autonomously recognize different situations of surgeries so that the robotic nurse can pass necessary surgical tools to the medical doctors in a timely manner. This paper proposes and explores methods that can classify suture and tying actions during suture operations from the video sequence that observes the surgery scene that includes the surgeon's hands. First, the proposed method uses skin pixel detection and foreground extraction to detect the hand area. Then, interest points are randomly chosen from the hand area so that their 3D SIFT descriptors are computed. A word vocabulary is built by applying hierarchical K-means to these descriptors, and the words' frequency histogram, which corresponds to the feature space, is computed. Finally, to classify the actions, either SVM (Support Vector Machine), Nearest Neighbor rule (NN) for the feature space or a method that combines "sliding window" with NN is performed. We collect 53 suture videos and 53 tying videos to build the training set and to test the proposed method experimentally. It turns out that the NN gives higher than 90% accuracies, which are better recognition than SVM. Negative actions, which are different from either suture or tying action, are recognized with quite good accuracies, while "Sliding window" did not show significant improvements for suture and tying and cannot recognize negative actions.

Li, Ye; Ohya, Jun; Chiba, Toshio; Xu, Rong; Yamashita, Hiromasa

2014-03-01

168

[Long-term stability of astigmatism after suture correction in penetrating keratoplasty].  

PubMed

Severe astigmatism after penetrating keratoplasty is frequently a major problem. If one uses a technique to adjust a single running 10-0 nylon suture in the early period after keratoplasty, the suture tension can be redistributed and astigmatism reduced. Eighteen eyes with an average of 8.8 D of postkeratoplasty astigmatism underwent suture adjustment. The mean keratometric astigmatism before suture removal was 3.1 D. After suture removal with an follow-up of 25 months, the mean corneal astigmatism was 3.2 D, only one eye did the suture break during adjustment. No infection, vascularization or rejection occurred. PMID:7549325

Heider, W; Ohrloff, C

1995-08-01

169

Methods for absorbing neutrons  

DOEpatents

A conduction cooled neutron absorber may include a metal matrix composite that comprises a metal having a thermal neutron cross-section of at least about 50 barns and a metal having a thermal conductivity of at least about 1 W/cmK. Apparatus for providing a neutron flux having a high fast-to-thermal neutron ratio may include a source of neutrons that produces fast neutrons and thermal neutrons. A neutron absorber positioned adjacent the neutron source absorbs at least some of the thermal neutrons so that a region adjacent the neutron absorber has a fast-to-thermal neutron ratio of at least about 15. A coolant in thermal contact with the neutron absorber removes heat from the neutron absorber.

Guillen, Donna P. (Idaho Falls, ID); Longhurst, Glen R. (Idaho Falls, ID); Porter, Douglas L. (Idaho Falls, ID); Parry, James R. (Idaho Falls, ID)

2012-07-24

170

Externally tuned vibration absorber  

DOEpatents

A vibration absorber unit or units are mounted on the exterior housing of a hydraulic drive system of the type that is powered from a pressure wave generated, e.g., by a Stirling engine. The hydraulic drive system employs a piston which is hydraulically driven to oscillate in a direction perpendicular to the axis of the hydraulic drive system. The vibration absorbers each include a spring or other resilient member having one side affixed to the housing and another side to which an absorber mass is affixed. In a preferred embodiment, a pair of vibration absorbers is employed, each absorber being formed of a pair of leaf spring assemblies, between which the absorber mass is suspended.

Vincent, Ronald J. (Latham, NY)

1987-09-22

171

The Miller?s knot as an alternative to the surgical knotting? Characterization of the mechanical behavior.  

PubMed

Several types of materials and surgical suture patterns are used in conventional surgery. Their combination with an appropriate knot is the basis for correct tissue apposition and healing. Knot security is essential to prevent loosening or slipping before the suture line is completely closed. Nevertheless, the knot itself is the weakest link in any surgical handling. The aim of this study is to determine and compare the mechanical behavior of four surgical knot types (square knot, surgeon?s knot, square slipknot and Miller?s knot) performed with three different suture materials (absorbable monofilament glyconate, non-absorbable monofilament polyamide and absorbable braided polyglycolic acid) in a non-biological experimental in vitro model (a tube of synthetic material with non-linear mechanical behavior). The mechanical properties of each suture material are also compared. Ten samples were mechanically tested for each suture and knot using a uniaxial tensile test until complete sample rupture. The failure Cauchy stress and stretch were calculated. The Cauchy stress at 5%, 10% and 15% strain and standard deviation were compared for each suture and knot type. The results demonstrated that all the suture materials had statistically significant differences in their non-linear mechanical behavior. Absorbable monofilament glyconate was the most compliant suture with the greatest tensile strength, while absorbable braided polyglycolic acid was the stiffest. Regardless of the suture type used, the Miller?s knot had the greatest failure Cauchy stress and stretch, while the square, surgeon?s and square slipknot had the lowest. In all cases, the Miller?s knot was more compliant and had greater tensile strength than the other knots. The square knot, surgeon?s knot, and square slipknot had statistically significant similarities in their mechanical behavior. Therefore, the Miller?s knot could be classified as the gold standard and an alternative to the surgical knotting. PMID:25058024

Ortillés, A; Rodríguez, J; Calvo, B

2014-10-01

172

Standardization of test methodology: a comparison between three suture anchors  

E-print Network

the ones from Securos and IMEX. All of these anchors are intended for use to support extra-capsular reconstruction of the anterior cruciate ligament (ACL) deficient knee joint in dogs. The pullout strength, the strength with which the anchor holds onto... to damage to the anterior cruciate ligament. Hence, this is a new avenue of research in the field. The simplicity of using suture anchors in procedures will be of little use if there is a high incidence of suture or anchor failure. There is reason...

Jonnalagadda, Silpa P.

2005-08-29

173

Familial idiopathic hypertrophic osteoarthropathy and cranial suture defects in children  

SciTech Connect

Three children with idiopathic hypertrophic osteoarthropathy and cranial suture defects are reported. The syndrome was recognized after birth and in the two oldest siblings, the cranial defects and subperiosteal bone formation resolved almost completely by age 4 and 6 years. The joint swelling and clubbing persisted and mild bone reabsorption of the distal phalanges became apparent at an older age. Two siblings and both parents had normal bone X-rays and no clubbing. This study confirms the association of cranial sutural defects and familial idopathic hypertrophic osteoarthropathy.

Reginato, A.J.; Schiapachasse, V.; Guerrero, R.

1982-05-01

174

Solar energy absorber  

Microsoft Academic Search

A solar energy absorber module is described comprising a molded substantially rigid top sheet of translucent plastic material and a molded substantially rigid bottom sheet of solar energy absorbing substantially opaque plastic material bonded together by circular bond indentations formed in each of the top sheet and the bottom sheet. The circular bond indentation on each sheet is spaced from

1988-01-01

175

Advanced neutron absorber materials  

DOEpatents

A neutron absorbing material and method utilizing rare earth elements such as gadolinium, europium and samarium to form metallic glasses and/or noble base nano/microcrystalline materials, the neutron absorbing material having a combination of superior neutron capture cross sections coupled with enhanced resistance to corrosion, oxidation and leaching.

Branagan, Daniel J. (Idaho Falls, ID); Smolik, Galen R. (Idaho Falls, ID)

2000-01-01

176

Multispectral metamaterial absorber.  

PubMed

We present the simulation, implementation, and measurement of a multispectral metamaterial absorber (MSMMA) and show that we can realize a simple absorber structure that operates in the mid-IR and terahertz (THz) bands. By embedding an IR metamaterial absorber layer into a standard THz metamaterial absorber stack, a narrowband resonance is induced at a wavelength of 4.3 ?m. This resonance is in addition to the THz metamaterial absorption resonance at 109 ?m (2.75 THz). We demonstrate the inherent scalability and versatility of our MSMMA by describing a second device whereby the MM-induced IR absorption peak frequency is tuned by varying the IR absorber geometry. Such a MSMMA could be coupled with a suitable sensor and formed into a focal plane array, enabling multispectral imaging. PMID:24690713

Grant, J; McCrindle, I J H; Li, C; Cumming, D R S

2014-03-01

177

Quantitative Analysis of Developmental Process of Cranial Suture in Korean Infants  

PubMed Central

Objective The purpose of this study was to elucidate the anatomical development of physiologic suture closure processes in infants using three dimensional reconstructed computed tomography (CT). Methods A consecutive series of 243 infants under 12 months of age who underwent three dimensional CT were included in this study. Four major cranial sutures (sagittal, coronal, lambdoidal and metopic suture) were classified into four suture closure grades (grade 0=no closure along the whole length, grade 1=partial or intermittent closure, grade 2=complete closure with visible suture line, grade 3=complete fusion (ossification) without visible suture line), and measured for its closure degree (suture closure rates; defined as percentage of the length of closed suture line divided by the total length of suture line). Results Suture closure grade under 12 months of age comprised of grade 0 (n=195, 80.2%), grade 1 (n=24, 9.9%) and grade 2 (n=24, 9.9%) in sagittal sutures, whereas in metopic sutures they were grade 0 (n=61, 25.1%), grade 1 (n=167, 68.7%), grade 2 (n=6, 24%) and grade 3 (n=9, 3.7%). Mean suture closure rates under 12 months of age was 58.8% in metopic sutures, followed by coronal (right : 43.8%, left : 41.1%), lambdoidal (right : 27.2%, left : 25.6%) and sagittal sutures (15.6%), respectively. Conclusion These quantitative descriptions of cranial suture closure may help understand the process involved in the cranial development of Korean infants. PMID:22396840

Sim, Sook Young; Kim, Sun Yong

2012-01-01

178

Dura mater secretes soluble heparin-binding factors required for cranial suture morphogenesis  

Microsoft Academic Search

Summary  Cranial sutures play a critical role in calvarial morphogenesis, serving as bone growth centers during skull enlargement.\\u000a Defective suture morphogenesis, resulting in premature osseous obliteration of sutures and their failure to function appropriately,\\u000a causes severe craniofacial anomalies. Previously published data demonstrated osseous obliteration of coronal suturesin vitro in the absence of dura mater and the rescue of sutures from osseous

Lynne A. Opperman; Ralph W. Passarelli; Amber A. Nolen; Thomas J. Gampper; Kant Y. K. Lin; Roy C. Ogle

1996-01-01

179

Tissue Fixation Security in Transosseous Rotator Cuff Repairs: A Mechanical Comparison of Simple Versus Mattress Sutures  

Microsoft Academic Search

Summary: The primary purpose of this investigation was to compare tissue fixa- tion security by simple sutures versus mattress sutures in transosseous rotator cuff repair. These two repair techniques were each performed in 17 human cadaver shoulders, with two bone tunnels being used for the repair by two simple sutures and two other bone tunnels being used for the repair

Stephen S. Burkhart; Scott P. Fischer; Wesley M. Nottage; James C. Esch; F. Alan Barber; James Ferrier

1996-01-01

180

Effects of Early Monocular Eyelid Suture upon Development of Relay Cell Classes in the Cat's Lateral  

E-print Network

Effects of Early Monocular Eyelid Suture upon Development of Relay Cell Classes in the Cat into visual cortex of four normal cats and five cats raised with monocular lid suture, and retro- grade labelling was assessed in cells of the lateral geniculate nucleus. In all but one of the sutured cats (noted

Sherman, S. Murray

181

Histologic evaluation of absorbable and non-absorbable barrier coated mesh secured to the peritoneum with fibrin sealant in a New Zealand white rabbit model  

PubMed Central

Purpose The purpose of this study is to evaluate the histologic response to fibrin sealant (FS) as an alternative fixation method for laparoscopic ventral hernia repair. Methods One non-absorbable barrier mesh (Composix™) and three absorbable barrier meshes (Sepramesh™, Proceed™, and Parietex™ Composite) were used for the study, with uncoated macroporous polypropylene mesh (ProLite Ultra™) as the control. Three methods of fixation were used: #0-polypropylene suture? FS (ARTISS™, Baxter Healthcare Corp.), FS alone (ARTISS™), or tacks alone (n = 10 for each group). Two pieces of mesh (of dimensions 4 × 4-cm) were secured intraperitoneally in 75 New Zealand white rabbits. After 8 weeks, hematoxylin and eosin (H&E)-stained specimens were evaluated for host tissue response. Statistical significance (P < 0.05) was determined using a one-way analysis of variance (ANOVA) with Fisher’s least significant difference (LSD) post hoc test. Results Composix™ with FS only showed significantly greater cellular infiltration than with suture? FS (P = 0.0007), Proceed™ with FS only had significantly greater neovascularization than with suture? FS (P = 0.0172), and ProLite Ultra™ with suture? FS had significantly greater neovascularization than with tacks only (P = 0.046). Differences due to mesh type showed that Composix™ exhibited less extensive cellular infiltration (P ? 0.0032), extracellular matrix (ECM) deposition, and neovascularization, and demonstrated less inflammatory cells and more fibroblasts compared to the other meshes (P < 0.05). Conclusions FS did not have a significant histologic effect compared to tacks when utilized for the fixation of mesh to the peritoneum of New Zealand White rabbits. However, the mesh type did have a significant histologic effect. The permanent barrier mesh (Composix™) was associated with less histologic incorporation than absorbable barrier and macroporous meshes, as evidenced by lower levels of cellular infiltration, ECM deposition, and neovascularization, independent of the fixation method used. PMID:21607571

Jenkins, E. D.; Melman, L.; Desai, S.; Deeken, C. R.; Greco, S. C.; Frisella, M. M.; Matthews, B. D.

2013-01-01

182

Performing handsewn coloanal anastomosis with the pursestring suture anoscope.  

PubMed

The pursestring suture anoscope, originally developed for the procedure for rectal prolapse and hemorrhoids, has been successfully used when performing coloanal anastomosis. The use of this tool for handsewn coloanal anastomosis can achieve relatively atraumatic results to the patient. It is a suitable and handy tool that makes handsewn transanal colonanal anastomosis simple and easy to perform. PMID:18597144

Chin, Chih-Chien; Huang, Wen-Shih; Yeh, Chung-Hung; Wang, Jeng-Yi

2008-09-01

183

Familial idiopathic hypertrophic osteoarthropathy and cranial suture defects in children  

Microsoft Academic Search

Three children with idiopathic hypertrophic osteoarthropathy and cranial suture defects are reported. The syndrome was recognized after birth and in the two oldest siblings, the cranial defects and subperiosteal bone formation resolved almost completely by age 4 and 6 years. The joint swelling and clubbing persisted and mild bone reabsorption of the distal phalanges became apparent at an older age.

Antonio J. Reginato; Virgilio Schiapachasse; Rosario Guerrero

1982-01-01

184

Cranial sutures and craniometric points detected on MRI  

Microsoft Academic Search

The main goal of the study was to determine on MRI the cranial sutures, the craniometric points and craniometric measurements, and to correlate these results with classical anthropometric measurements. For this purpose, we reviewed 150 cerebral MRI examinations considered as normal (Caucasian population aged 20?49 years). For each examination we individualized 11 craniometric landmarks (Glabella, Bregma, Lambda, Opisthocranion, Opisthion, Basion, Inion,

François Cotton; Fernando Ramirez Rozzi; Bernard Vallee; Chahin Pachai; Marc Hermier; Anne-Marie Guihard-Costa; Jean-Claude Froment

2005-01-01

185

Internal absorber solar collector  

DOEpatents

Thin solar collecting panels are described made from arrays of small rod collectors consisting of a refracting dielectric rod lens with an absorber imbedded within it and a reflecting mirror coated on the back side of the dielectric rod. Non-tracking collector panels on vertical walls or roof tops receive approximately 90% of solar radiation within an acceptance zone 60.degree. in elevation angle by 120.degree. or more in the azimuth sectors with a collector concentration ratio of approximately 3.0. Miniaturized construction of the circular dielectric rods with internal absorbers reduces the weight per area of glass, plastic and metal used in the collector panels. No external parts or insulation are needed as heat losses are low due to partial vacuum or low conductivity gas surrounding heated portions of the collector. The miniature internal absorbers are generally made of solid copper with black selective surface and the collected solar heat is extracted at the collector ends by thermal conductivity along the absorber rods. Heat is removed from end fittings by use of liquid circulants. Several alternate constructions are provided for simplifying collector panel fabrication and for preventing the thermal expansion and contraction of the heated absorber or circulant tubes from damaging vacuum seals. In a modified version of the internal absorber collector, oil with temperature dependent viscosity is pumped through a segmented absorber which is now composed of closely spaced insulated metal tubes. In this way the circulant is automatically diverted through heated portions of the absorber giving higher collector concentration ratios than theoretically possible for an unsegmented absorber.

Sletten, Carlyle J. (106 Nagog Hill Rd., Acton, MA 01720); Herskovitz, Sheldon B. (88 Hammond St., Acton, MA 01720); Holt, F. S. (46 Emerson Rd., Winchester, MA 01890); Sletten, E. J. (Chestnut Hill Rd. R.F.D. Rte. #4, Amherst, NH 03031)

1981-01-01

186

Lipid-absorbing Polymers  

NASA Technical Reports Server (NTRS)

The removal of bile acids and cholesterol by polymeric absorption is discussed in terms of micelle-polymer interaction. The results obtained with a polymer composed of 75 parts PEO and 25 parts PB plus curing ingredients show an absorption of 305 to 309%, based on original polymer weight. Particle size effects on absorption rate are analyzed. It is concluded that crosslinked polyethylene oxide polymers will absorb water, crosslinked polybutadiene polymers will absorb lipids; neither polymer will absorb appreciable amounts of lipids from micellar solutions of lipids in water.

Marsh, H. E., Jr.; Wallace, C. J.

1973-01-01

187

Electromagnetic power absorber  

NASA Technical Reports Server (NTRS)

A structure is presented with a surface portion of dielectric material which passes electromagnetic radiation and with a portion below the surface which includes material that absorbs the radiation, the face of the structure being formed with numerous steep ridges. The steepness of the dielectric material results in a high proportion of the electromagnetic energy passing through the surface for absorption by the absorbing material under the surface. A backing of aluminum or other highly heat-conductive and reflective material lies under the face and has very steep protuberances supporting the absorbing and dielectric materials.

Iwasaki, R. S. (inventor)

1979-01-01

188

Hands-on Activities for understanding Ammonite Sutures  

NSDL National Science Digital Library

There is a lot of primary literature on the origin (and purpose) of complex sutures in ammonites. It is still hotly debated what (if any) benefit complex sutures may have imparted to ammonites. But to start this whole topic (which results in an essay on whether changes in sutures represent a passive or driven trend), I use a set of hands-on exercises that are fun and eye-opening: examining cross-sections through modern nautilus shells, making a play-doh model of an ammonite, and using a Hele-Shaw cell experiment to make complex dendritic shapes. I have found over the years, that students (and my faculty colleagues, too) can easily point out sutures to me on the ammonite fossils in our collection, but they really don't know what they're pointing to (they honestly don't!). So, I split my students (I usually have around 30 in my 200-level Paleobiology course) into teams of three, and we do several things (I do this all in one 4-hour lab, but you could easily do these in separate periods). First, they get an ammonite fossil (always a sediment-filled specimen with the mother of pearl phragmacone at least mostly gone so some of the sutures are clearly visible), and a couple of modern nautilus shells cut in half (I purchase these online from seashellcity.com), and some play-doh (little 2-oz different color tubs I get from Kmart). They have to determine, and then build a model (using play-doh), what they're looking at when they're looking at the ammonite fossils, in particular, the sutures (sans sediment). They are allowed to look stuff up online or in their text. Results are amazing. I've had many teams build a very nice ammonite (usually a tube of play-doh, representing just one chamber with two septal walls at either end of the tube) and then they use a pencil to sketch the sutures on the outside of the phragmacone! I tell them to rethink this and then they work on it more... It's really cool when they finally realize that to make a model of the fossil sutures that they're looking at, they need to peel off their play-doh phragmacone to reveal the sutures (which are just the 1D line at the end of a 2D septal plane) (although the actual 1D 2D thing gets interesting when we delve into the fractal nature of the sutures, see below). Also, the modern nautilus shells beautifully show the difference between growth lines and sutures/septa. So I augment my assessment of their understanding by literally having each student individually trace for me (with their finger) what the suture is on one of the nautilus shells, and what a growth line is (the supplier I use polishes off the periostracum to reveal the mother of pearl with obvious growth lines). I have also taken whole Nautilus shells and buffed off a part of the phragmacone to reveal the edge of the septal wall, which is the exact equivalent of a suture in an ammonite). Then, we run a Hele-Shaw experiment to get viscous fingering (which resembles ammonite sutures). I borrowed this hele-shaw design from the Center for Polymer Studies at Boston University (http://polymer.bu.edu/edu/) Exploring Patterns in Nature. It consists of a pair of ~10-inch square glass plates, one with a hole drilled in it (our Shop makes these for me from standard glass). The hole is a size that fits common plastic tubing (outside diameter) which in turn fits a standard small syringe inside the tubing. The experiment works like this: put a 3 to 5 inch long piece of plastic tube in the hole, but make sure it doesn't stick out the other side (not more than flush), and seal this with some sort of removable sealant; let the sealant stiffen, and clean both plates with windex. Then, on the solid plate, put two stacked thin-section cover slips (I use micro glass little slips) at the corners of the plate, then put the hole-plate with tube up, on top of the cover slips (the inside surfaces need to be very clean), then clip the two plates together with binder clips on each corner. This is a Hele-Shaw cell. Then, with the syringe, inject glycerol between the plates, careful not to put too much in that is squirts out the sides. Then take a syringe with food color in it (darker works better) and inject the food color between the plates. The food coloring injects through the glycerol already in the tube. A beautiful dendrite is created. Compare these with ammonite sutures. You can take it from here. I then stop the exercise and introduce the essay assignment (see uploaded documents).

Cowan, Clint

189

Absorbance modulation optical lithography  

E-print Network

In this thesis, the concept of absorbance-modulation optical lithography (AMOL) is described, and the feasibility experimentally verified. AMOL is an implementation of nodal lithography, which is not bounded by the diffraction ...

Tsai, Hsin-Yu Sidney

2007-01-01

190

Suture material for flexor tendon repair: 3–0 V-Loc versus 3–0 Stratafix in a biomechanical comparison ex vivo  

PubMed Central

Background Barbed suture material offers the possibility of knotless flexor tendon repair, as suggested in an increasing number of biomechanical studies. There are currently two different absorbable barbed suture products available, V-Loc™ and Stratafix™, and both have not been compared to each other with regard to flexor tendon repair. The purpose of this study was to evaluate both suture materials for primary stability under static and cyclic loading in a biomechanical ex vivo model. Methods Forty fresh porcine flexor digitorum profundus tendons were randomized in two groups. A four-strand modified Kessler suture technique was used to repair the tendon either with a 3–0 V-Loc™ or 3–0 Stratafix™ without a knot. Parameters of interest were mode of failure, 2-mm gap formation force, displacement, stiffness and maximum load under static and cyclic testing. Results The maximum load was 42.3?±?7.2 for the Stratafix™ group and 50.7?±?8.8 N for the V-Loc™ group. Thus, the ultimate tensile strength was significantly higher for V-Loc™ (p?suture for knotless flexor tendon repair. PMID:25205062

2014-01-01

191

Screening patients at risk for diabetic foot ulceration: a comparison between measurement of vibration perception threshold and 10-g monofilament test.  

PubMed

The aim is to compare the frequency of increased vibration perception threshold (VPT) with abnormal 10-g Semmes-Weinstein monofilament (SWF) testing in a non-selected diabetic population, and to assess the agreement between these two screening methods. VPT was measured using a neurothesiometer at the pulp of the hallux and 10-g SWF was applied on three plantar sites on each foot according to the guidelines of the International Working Group on the Diabetic Foot, in 400 consecutive diabetic patients. VPT was considered as abnormal if ?25 V and SWF was considered as abnormal if the patient was unable to feel ?2 applications at a single site. Both tests were normal in 240 patients (60%) and both abnormal in 78. In 21 patients, only SWF was abnormal whereas only VPT was abnormal in 61. As a whole, 160 patients (40%) were considered at risk for foot ulceration by VPT and/or SWF. Agreement between the two screening methods was only moderate with a kappa coefficient of 0·52 (95% CI: 0·43-0·60). Using VPT as a predictor for foot ulceration, the number of patients at risk is much higher than identified by SWF. This discrepancy might have potential effects on costs and prevention policies. PMID:22892021

Richard, Jean-Louis; Reilhes, Lise; Buvry, Stéphanie; Goletto, Monique; Faillie, Jean-Luc

2014-04-01

192

Assessment of the role of sutures in a lizard skull: a computer modelling study  

PubMed Central

Sutures form an integral part of the functioning skull, but their role has long been debated among vertebrate morphologists and palaeontologists. Furthermore, the relationship between typical skull sutures, and those involved in cranial kinesis, is poorly understood. In a series of computational modelling studies, complex loading conditions obtained through multibody dynamics analysis were imposed on a finite element model of the skull of Uromastyx hardwickii, an akinetic herbivorous lizard. A finite element analysis (FEA) of a skull with no sutures revealed higher patterns of strain in regions where cranial sutures are located in the skull. From these findings, FEAs were performed on skulls with sutures (individual and groups of sutures) to investigate their role and function more thoroughly. Our results showed that individual sutures relieved strain locally, but only at the expense of elevated strain in other regions of the skull. These findings provide an insight into the behaviour of sutures and show how they are adapted to work together to distribute strain around the skull. Premature fusion of one suture could therefore lead to increased abnormal loading on other regions of the skull causing irregular bone growth and deformities. This detailed investigation also revealed that the frontal–parietal suture of the Uromastyx skull played a substantial role in relieving strain compared with the other sutures. This raises questions about the original role of mesokinesis in squamate evolution. PMID:18765341

Moazen, Mehran; Curtis, Neil; O'Higgins, Paul; Jones, Marc E.H; Evans, Susan E; Fagan, Michael J

2008-01-01

193

Laparotomy closure using an elastic suture: A promising approach.  

PubMed

Background: Midline laparotomy wound failure like burst abdomen remains one of the major complications after abdominal surgery. The use of sutures with a closer resemblance to abdominal wall physiology, like elastic threads, could decrease the risk of these complications occurring. Thus, we evaluated the possibility of using a new elastic thread composed of thermoplastic polyurethane (TPU) as a suture for the closure of midline laparotomies compared to conventionally used polypropylene (PP) in a rabbit model. Methods: The elastic TPU thread was processed and tensile tests were performed. Twenty female chinchilla rabbits underwent midline laparotomy. They were randomized to a TPU and a PP group depending on the suture used for fascia closure. After 7 or 21 days, the abdominal walls were assessed macroscopically for wound healing complications and were explanted for histopathological investigation. Results: Tensile tests showed a mean elastic elongation of 55.5% and a sufficient material strength of the TPU thread. In animal experiments, there was no difference between the groups at 7 days; however, the TPU suture showed significantly less CD68 positive cells (p?

Lambertz, A; Vogels, R R M; Busch, D; Schuster, P; Jockenhövel, S; Neumann, U P; Klinge, U; Klink, C D

2014-06-01

194

Post-collisional Volcanism of Kalamaili Suture Zone  

Microsoft Academic Search

Kalamaili suture zone is an important plate boundary in north Xinjiang, with plenty of Neopaleozoic volcanic rocks around. These volcanic rocks are enriched in LILEs and relatively depleted in HFSEs, and they are characterized by high Nb, Zr, TiO2 contents and Zr\\/Y, Nb\\/Y ratios, and display depleted Sr-Nd isotopic characteristics. The characteristics of these volcanic rocks suggest that they were

Xiaoqi WU; Deliang LIU; Zhensheng LI

2009-01-01

195

Twist1 dimer selection regulates cranial suture patterning and fusion  

Microsoft Academic Search

Saethre-Chotzen syndrome is associated with haploinsufficiency of the basic-helix-loop- helix (bHLH) transcription factor TWIST1 and is characterized by premature closure of the cranial sutures, termed craniosynostosis; however, the mechanisms underlying this defect are unclear. Twist1 has been shown to play both positive and negative roles in mesenchymal specification and differentiation, and here we show that the activity of Twist1 is

Jeannette Connerney; Viktoria Andreeva; Yael Leshem; Christian Muentener; Miguel A. Mercado; Douglas B. Spicer

2006-01-01

196

Arthroscopic Suture Bridge Fixation of Tibial Intercondylar Eminence Fractures  

PubMed Central

Tibial intercondylar eminence fractures that are displaced and non-reducible require open or arthroscopically assisted repair. Ideally, fracture reduction and fixation would be performed with a technique that has low morbidity, allows easy visualization and reduction, provides firm fixation, does not violate the proximal tibial physis, avoids metal hardware, and does not require a second procedure for implant removal. The suture bridge technique, used in the shoulder for rotator cuff tears and greater tuberosity fracture repair, has the ability to produce high contact pressures with rigid fixation. We describe an all-inside and all-epiphyseal arthroscopic suture bridge technique for tibial intercondylar eminence fracture repair performed with PushLock anchors (Arthrex, Naples, FL). One or 2 anchors preloaded with No. 2 FiberWire (Arthrex) are placed in the posterior fracture bed, followed by fracture reduction. The suture limbs are shuttled through and around the anterior cruciate ligament and over the fracture fragment in crossing fashion and are secured by use of additional anchors placed at the anteromedial and anterolateral fracture margin. The anchors are placed obliquely to avoid the proximal tibial physis in the pediatric population. Anatomic reduction and secure fixation allow more aggressive rehabilitation and faster restoration of joint function. PMID:24400173

Sawyer, Gregory A.; Hulstyn, Michael J.; Anderson, Brett C.; Schiller, Jonathan

2013-01-01

197

Healing of the Goat Anterior Cruciate Ligament After a New Suture Repair Technique and Bioscaffold Treatment  

PubMed Central

Primary suture repair of the anterior cruciate ligament (ACL) has been used clinically in an attempt to heal the ruptured ACL. The results, however, were not satisfactory, which in retrospect can be attributed to the used suturing technique and the suboptimal healing conditions. These constraining conditions can be improved by introducing a new suturing technique and by using small intestinal submucosa (SIS) as a bioscaffold. It is hypothesized that the suturing technique keep the torn ends together and that SIS enhance and promote the healing of the ACL. The goat was used as the study model. In the Suture group, the left ACL was transected and suture repaired with a new locking suture repair technique (n=5) allowing approximation and fixation under tension. The Suture-SIS group underwent the same procedure with the addition of SIS (n=5). The right ACL served as control. After 12 weeks of healing, anterior–posterior translation and in situ force of the healing ACL were measured, followed by the measurement of the cross-sectional area and structural stiffness. Routine histology was performed on tissue samples. Gross morphology showed that the healing ACL was continuous with collagenous tissue in both groups. The cross-sectional area of the Suture and the Suture-SIS group was 35% and 50% of the intact control, respectively. The anterior–posterior translations at different flexion angles were statistically not different between the Suture group and the Suture-SIS group. Only the in situ force at 30° in the Suture-SIS group was higher than in the Suture group. Tensile tests showed that the stiffness for the Suture group was not different from the Suture-SIS group (31.1±8.1?N/mm vs. 41.9±18.0?N/mm [p>0.05]). Histology showed longitudinally aligned collagen fibers from origo to insertion. More fibroblasts were present in the healing tissue than in the control intact tissue. The study demonstrated the proof of concept of ACL repair in a goat model with a new suture technique and SIS. The mechanical outcome is not worse than previously reported for ACL reconstruction. In conclusion, the approach of using a new suture technique, with or without a bioscaffold to heal the ACL is promising. PMID:23725556

Geel, Jurre; Schulze, Martin; Raschke, Michael J.; Woo, Savio L-Y.; van Dijk, C. Niek; Blankevoort, Leendert

2013-01-01

198

Stress and strain analysis on the anastomosis site sutured with either epineurial or perineurial sutures after simulation of sciatic nerve injury?  

PubMed Central

The magnitude of tensile stress and tensile strain at an anastomosis site under physiological stress is an important factor for the success of anastomosis following suturing in peripheral nerve injury treatment. Sciatic nerves from fresh adult cadavers were used to create models of sciatic nerve injury. The denervated specimens underwent epineurial and perineurial suturing. The elastic modulus (40.96 ± 2.59 MPa) and Poisson ratio (0.37 ± 0.02) of the normal sciatic nerve were measured by strain electrical measurement. A resistance strain gauge was pasted on the front, back, left, and right of the edge of the anastomosis site after suturing. Strain electrical measurement results showed that the stress and strain values of the sciatic nerve following perineurial suturing were lower than those following epineurial suturing. Scanning electron microscopy revealed that the sciatic nerve fibers were disordered following epineurial compared with perineurial suturing. These results indicate that the effect of perineurial suturing in sciatic nerve injury repair is better than that of epineurial suturing.

Liu, Guangyao; Zhang, Qiao; Jin, Yan; Gao, Zhongli

2012-01-01

199

Shock Absorbing System  

NASA Technical Reports Server (NTRS)

A lightweight, inexpensive shock-absorbing system, developed by Langley Research Center 20 years ago, is now in service as safety device for an automated railway at Duke University Medical Center. The transportation system travels at about 25 miles per hour, carrying patients, visitors, staff and cargo. At the end of each guideway of the system are "frangible," (breakable) tube "buffers." If a slowing car fails to make a complete stop at the terminal, it would bump and shatter the tubes, absorbing energy that might otherwise jolt the passengers or damage the vehicle.

1982-01-01

200

Bundles of spider silk, braided into sutures, resist basic cyclic tests: potential use for flexor tendon repair.  

PubMed

Repair success for injuries to the flexor tendon in the hand is often limited by the in vivo behaviour of the suture used for repair. Common problems associated with the choice of suture material include increased risk of infection, foreign body reactions, and inappropriate mechanical responses, particularly decreases in mechanical properties over time. Improved suture materials are therefore needed. As high-performance materials with excellent tensile strength, spider silk fibres are an extremely promising candidate for use in surgical sutures. However, the mechanical behaviour of sutures comprised of individual silk fibres braided together has not been thoroughly investigated. In the present study, we characterise the maximum tensile strength, stress, strain, elastic modulus, and fatigue response of silk sutures produced using different braiding methods to investigate the influence of braiding on the tensile properties of the sutures. The mechanical properties of conventional surgical sutures are also characterised to assess whether silk offers any advantages over conventional suture materials. The results demonstrate that braiding single spider silk fibres together produces strong sutures with excellent fatigue behaviour; the braided silk sutures exhibited tensile strengths comparable to those of conventional sutures and no loss of strength over 1000 fatigue cycles. In addition, the braiding technique had a significant influence on the tensile properties of the braided silk sutures. These results suggest that braided spider silk could be suitable for use as sutures in flexor tendon repair, providing similar tensile behaviour and improved fatigue properties compared with conventional suture materials. PMID:23613793

Hennecke, Kathleen; Redeker, Joern; Kuhbier, Joern W; Strauss, Sarah; Allmeling, Christina; Kasper, Cornelia; Reimers, Kerstin; Vogt, Peter M

2013-01-01

201

Bundles of Spider Silk, Braided into Sutures, Resist Basic Cyclic Tests: Potential Use for Flexor Tendon Repair  

PubMed Central

Repair success for injuries to the flexor tendon in the hand is often limited by the in vivo behaviour of the suture used for repair. Common problems associated with the choice of suture material include increased risk of infection, foreign body reactions, and inappropriate mechanical responses, particularly decreases in mechanical properties over time. Improved suture materials are therefore needed. As high-performance materials with excellent tensile strength, spider silk fibres are an extremely promising candidate for use in surgical sutures. However, the mechanical behaviour of sutures comprised of individual silk fibres braided together has not been thoroughly investigated. In the present study, we characterise the maximum tensile strength, stress, strain, elastic modulus, and fatigue response of silk sutures produced using different braiding methods to investigate the influence of braiding on the tensile properties of the sutures. The mechanical properties of conventional surgical sutures are also characterised to assess whether silk offers any advantages over conventional suture materials. The results demonstrate that braiding single spider silk fibres together produces strong sutures with excellent fatigue behaviour; the braided silk sutures exhibited tensile strengths comparable to those of conventional sutures and no loss of strength over 1000 fatigue cycles. In addition, the braiding technique had a significant influence on the tensile properties of the braided silk sutures. These results suggest that braided spider silk could be suitable for use as sutures in flexor tendon repair, providing similar tensile behaviour and improved fatigue properties compared with conventional suture materials. PMID:23613793

Hennecke, Kathleen; Redeker, Joern; Kuhbier, Joern W.; Strauss, Sarah; Allmeling, Christina; Kasper, Cornelia; Reimers, Kerstin; Vogt, Peter M.

2013-01-01

202

Shock Absorbing Helmets  

NASA Technical Reports Server (NTRS)

This paper presents a description of helmets used by football players that offer three times the shock-absorbing capacity of earlier types. An interior padding for the helmets, composed of Temper Foam, first used by NASA's Ames Research Center in the design of aircraft seats is described.

1978-01-01

203

Neutron Absorbing Alloys  

DOEpatents

The present invention is drawn to new classes of advanced neutron absorbing structural materials for use in spent nuclear fuel applications requiring structural strength, weldability, and long term corrosion resistance. Particularly, an austenitic stainless steel alloy containing gadolinium and less than 5% of a ferrite content is disclosed. Additionally, a nickel-based alloy containing gadolinium and greater than 50% nickel is also disclosed.

Mizia, Ronald E. (Idaho Falls, ID); Shaber, Eric L. (Idaho Falls, ID); DuPont, John N. (Whitehall, PA); Robino, Charles V. (Albuquerque, NM); Williams, David B. (Bethlehem, PA)

2004-05-04

204

Solar rocket absorber  

SciTech Connect

A solar rocket absorber of rhenium tubes is used to provide heated liquid hydrogen to a thruster. The rhenium tubes are wrapped in a closed shape having an opening for receiving solar radiation for heating the liquid propellant. The vessel of rhenium tubes is held by a carbon shell which is further encased in a reradiation shield to prevent heat loss.

Robinson, P. I.

1985-07-16

205

Orientation of late Precambrian sutures in the Arabian-Nubian shield  

NASA Technical Reports Server (NTRS)

Recent tectonic models have resulted in conflicting descriptions of how the late Precambrian sutures of the Arabian-Nubian shield extend into northeast Africa. The Hamisana shear zone in northeastern Sudan is critical to this discussion because it truncates and disrupts two sutures, the Allaqi-Heiani and the Onib-Sol Hamed. Analysis of field structural data, Thematic Mapper imagery, and Rb-Sr and U-Pb geochronology suggests that the Allaqi-Heiani suture is the western extension of the Onib-Sol Hamed suture and that both make up the exposed parts of a far-traveled, polydeformed ophiolitic nappe complex. Subsequent deformation localized in the Hamisana shear zone disrupted this nappe and displaced the suture between 660 and 550 Ma during regional deformation associated with the Najd fault system. These results indicate that at least one suture extends westward into the interior of northern Africa.

Stern, Robert J.; Nielsen, Kent C.; Best, Eric; Sultan, Mohamed; Arvidson, Raymond E.

1990-01-01

206

Orientation of late Precambrian sutures in the Arabian-Nubian shield  

NASA Astrophysics Data System (ADS)

Recent tectonic models have resulted in conflicting descriptions of how the late Precambrian sutures of the Arabian-Nubian shield extend into northeast Africa. The Hamisana shear zone in northeastern Sudan is critical to this discussion because it truncates and disrupts two sutures, the Allaqi-Heiani and the Onib-Sol Hamed. Analysis of field structural data, Thematic Mapper imagery, and Rb-Sr and U-Pb geochronology suggests that the Allaqi-Heiani suture is the western extension of the Onib-Sol Hamed suture and that both make up the exposed parts of a far-traveled, polydeformed ophiolitic nappe complex. Subsequent deformation localized in the Hamisana shear zone disrupted this nappe and displaced the suture between 660 and 550 Ma during regional deformation associated with the Najd fault system. These results indicate that at least one suture extends westward into the interior of northern Africa.

Stern, Robert J.; Nielsen, Kent C.; Best, Eric; Sultan, Mohamed; Arvidson, Raymond E.

1990-11-01

207

A new, removable, sliding noose for adjustable-suture strabismus surgery.  

PubMed

We describe a new removable sliding polyglactin 910 suture noose for postoperative suture adjustment following extraocular muscle surgery. No excess suture material remains after adjustment has been completed, helping to reduce discomfort, inflammation, and scarring. We have used this noose with the cul-de-sac conjunctival incision in approximately 360 patients over a period of 18 months. This report details how to fashion, use, and remove the noose. PMID:24160975

Deschler, Emily K; Irsch, Kristina; Guyton, Kristina L; Guyton, David L

2013-10-01

208

Patterns and implications of extensive heterochrony in carnivoran cranial suture closure.  

PubMed

Heterochronic changes in the rate or timing of development underpin many evolutionary transformations. In particular, the onset and rate of bone development have been the focus of many studies across large clades. In contrast, the termination of bone growth, as estimated by suture closure, has been studied far less frequently, although a few recent studies have shown this to represent a variable, although poorly understood, aspect of developmental evolution. Here, we examine suture closure patterns across 25 species of carnivoran mammals, ranging from social-insectivores to hypercarnivores, to assess variation in suture closure across taxa, identify heterochronic shifts in a phylogenetic framework and elucidate the relationship between suture closure timing and ecology. Our results show that heterochronic shifts in suture closure are widespread across Carnivora, with several shifts identified for most major clades. Carnivorans differ from patterns identified for other mammalian clades in showing high variability of palatal suture closure, no correlation between size and level of suture closure, and little phylogenetic signal outside of musteloids. Results further suggest a strong influence of feeding ecology on suture closure pattern. Most of the species with high numbers of heterochronic shifts, such as the walrus and the aardwolf, feed on invertebrates, and these taxa also showed high frequency of closure of the mandibular symphysis, a state that is relatively rare among mammals. Overall, caniforms displayed more heterochronic shifts than feliforms, suggesting that evolutionary changes in suture closure may reflect the lower diversity of cranial morphology in feliforms. PMID:23530892

Goswami, A; Foley, L; Weisbecker, V

2013-06-01

209

Use of a new device for endoscopic suturing in the laparoscopic Burch procedure.  

PubMed

An innovation in surgical instrumentation for performing endoscopic suturing was applied in 15 patients who underwent a laparoscopic approach to the traditional retropubic modified Burch procedure. PMID:9050535

Gunn, G C; Cooper, R P; Gordon, N S; Gagnon, L

1994-11-01

210

Molecular basis of cranial suture biology and disease: Osteoblastic and osteoclastic perspectives  

PubMed Central

The normal growth and development of the skull is a tightly regulated process that occurs along the osteogenic interfaces of the cranial sutures. Here, the borders of the calvarial bones and neighboring tissues above and below, function as a complex. Through coordinated remodeling efforts of bone deposition and resorption, the cranial sutures maintain a state of patency from infancy through early adulthood as the skull continues to grow and accommodate the developing brain's demands for expansion. However, when this delicate balance is disturbed, a number of pathologic conditions ensue; and if left uncorrected, may result in visual and neurocognitive impairments. A prime example includes craniosynostosis, or premature fusion of one or more cranial and/or facial suture(s). At the present time, the only therapeutic measure for craniosynostosis is surgical correction by cranial vault reconstruction. However, elegant studies performed over the past decade have identified several genes critical for the maintenance of suture patency and induction of suture fusion. Such deeper understandings of the pathogenesis and molecular mechanisms that regulate suture biology may provide necessary insights toward the development of non-surgical therapeutic alternatives for patients with cranial suture defects. In this review, we discuss the intricate cellular and molecular interplay that exists within the suture among its three major components: dura mater, osteoblastic related molecular pathways and osteoclastic related molecular pathways. PMID:25426492

Beederman, Maureen; Farina, Evan M.; Reid, Russell R.

2014-01-01

211

Pull-string technique for recovering subconjunctival short-tag noose adjustable sutures.  

PubMed

The "short tag noose" technique is used to adjust sutures after strabismus surgery. The pole and noose sutures are buried below conjunctiva for possible use in later adjustment; however, they are not always easily recoverable. We report a "pull string" modification of the technique that permits retrieval of the pole and noose sutures without the need to enlarge the conjunctival wound or explore the subconjunctival space. If suture adjustment proves unnecessary, the pull string can be removed effortlessly under topical anesthesia, even in uncooperative children. PMID:25448142

Tsai, Chong-Bin

2014-12-01

212

Molecular basis of cranial suture biology and disease: Osteoblastic and osteoclastic perspectives.  

PubMed

The normal growth and development of the skull is a tightly regulated process that occurs along the osteogenic interfaces of the cranial sutures. Here, the borders of the calvarial bones and neighboring tissues above and below, function as a complex. Through coordinated remodeling efforts of bone deposition and resorption, the cranial sutures maintain a state of patency from infancy through early adulthood as the skull continues to grow and accommodate the developing brain's demands for expansion. However, when this delicate balance is disturbed, a number of pathologic conditions ensue; and if left uncorrected, may result in visual and neurocognitive impairments. A prime example includes craniosynostosis, or premature fusion of one or more cranial and/or facial suture(s). At the present time, the only therapeutic measure for craniosynostosis is surgical correction by cranial vault reconstruction. However, elegant studies performed over the past decade have identified several genes critical for the maintenance of suture patency and induction of suture fusion. Such deeper understandings of the pathogenesis and molecular mechanisms that regulate suture biology may provide necessary insights toward the development of non-surgical therapeutic alternatives for patients with cranial suture defects. In this review, we discuss the intricate cellular and molecular interplay that exists within the suture among its three major components: dura mater, osteoblastic related molecular pathways and osteoclastic related molecular pathways. PMID:25426492

Beederman, Maureen; Farina, Evan M; Reid, Russell R

2014-09-01

213

Non infective severe aortic paravalvular leakage 7 years after surgery: the role of suture technique  

PubMed Central

We report a case of redo aortic prosthesis replacement for a severe paravalvular leak (PVL) in a man operated with continuous suture technique 7 years earlier. The severe aortic regurgitation was due to the rupture of the suture. In spite of operations to replace malfunctioning heart valves are common procedures and performed all over the world from more than 50 years, there is still an open debate about the most suitable suture technique. In this case report, we'll discuss if the suture technique has a role in preventing or leading complications as severe PVL. PMID:21513562

2011-01-01

214

Roentgen stereophotogrammetric analysis of restricted periods of neurocranial suture immobilization in rabbits.  

PubMed

The effect of temporary fusion of sutures on craniofacial growth was studied biometrically in 4-week-old male New Zealand White rabbits. Tantalum bone markers were implanted in the cranial vault, and the coronal suture immobilized with isobutyl-2-cyanoacrylate adhesive. Linear craniectomy was performed after 2 or 6 weeks of sutural growth restriction (four animals in each group). The animals were followed for approximately 17 weeks. Early craniectomy resulted in greatly increased coronal suture bone separation (175% of control growth rates in peers and 125% of maximal control rates). Growth after late craniectomy showed an age-dependent lower rate, but still the overshoot markedly surpassed controls (210% of control rates in peers and 65% of maximal control growth rates). Overall, both exhibited overcompensation in coronal suture growth. A rapid compensation of adjacent sutures to temporary growth restriction and a tendency toward spontaneous correction following release of growth inhibition were demonstrated. Thus, the total anteroposterior growth of the combined frontonasal and coronal sutures nearly equaled that of control animals. Following linear craniectomy, volumetric calvarial expansion increased considerably in both early and late groups, due to compensatory coronal suture growth, but probably due also to spatial bone rearrangements. Based upon the findings, the length of the suture immobilization period seems critical to longitudinal and volumetric growth as well as to subsequent compensatory activity after surgical correction. PMID:6689711

Alberius, P; Selvik, G

1984-01-01

215

Patterns and implications of extensive heterochrony in carnivoran cranial suture closure  

PubMed Central

Heterochronic changes in the rate or timing of development underpin many evolutionary transformations. In particular, the onset and rate of bone development have been the focus of many studies across large clades. In contrast, the termination of bone growth, as estimated by suture closure, has been studied far less frequently, although a few recent studies have shown this to represent a variable, although poorly understood, aspect of developmental evolution. Here, we examine suture closure patterns across 25 species of carnivoran mammals, ranging from social-insectivores to hypercarnivores, to assess variation in suture closure across taxa, identify heterochronic shifts in a phylogenetic framework and elucidate the relationship between suture closure timing and ecology. Our results show that heterochronic shifts in suture closure are widespread across Carnivora, with several shifts identified for most major clades. Carnivorans differ from patterns identified for other mammalian clades in showing high variability of palatal suture closure, no correlation between size and level of suture closure, and little phylogenetic signal outside of musteloids. Results further suggest a strong influence of feeding ecology on suture closure pattern. Most of the species with high numbers of heterochronic shifts, such as the walrus and the aardwolf, feed on invertebrates, and these taxa also showed high frequency of closure of the mandibular symphysis, a state that is relatively rare among mammals. Overall, caniforms displayed more heterochronic shifts than feliforms, suggesting that evolutionary changes in suture closure may reflect the lower diversity of cranial morphology in feliforms. PMID:23530892

Goswami, A; Foley, L; Weisbecker, V

2013-01-01

216

Bone Suture in Management of Mandibular Degloving Injury  

PubMed Central

Traumatic degloving injuries of the mandible are rare intraoral soft tissue traumas. A simple review of the medical literature shows that no article up to this date has reported the prevalence of the degloving injuries of the mandible. Moreover, the highest incidence of mandibular degloving injuries is reported in children and young adults. In this article, the author describes the mandibular degloving injury, characterized by the separation of periosteum and soft tissues of the anterior buccal side of the mandible, and the bone suture technique. This article outlines that a correct diagnostic assessment and appropriate treatment plan can reduce the complications after mandibular degloving injuries. PMID:24470849

Rahpeyma, Amin; Khajeahmadi, Saeedeh

2013-01-01

217

Renal transplant incision closure using new absorbable subcuticular staple device.  

PubMed

Closure of skin incisions has received scant attention in the transplant literature. Yet, wound healing can be an important source of morbidity after transplantation. Recently, a novel form of skin closure utilizing absorbable subcuticular staples has become available. It was used in 26 live-related and deceased donor kidney transplant recipients. A large (no. 1) continuous absorbable suture with wide, sweeping bites was first used to attach the subcutaneous tissue to the fascia, thus removing all stress from the skin edges. There was a single minor wound separation in one patient in follow-up ranging from one month to one yr. Cosmetic result and patient comfort were superior. Subcuticular closure can give similar results, but is more time consuming. The limited literature on this product is industry sponsored and refers to animal experience and to diverse surgical procedures; the reports are similar to our own experience. Skin staples are left in for prolonged periods in transplantation because of concerns about wound healing. This may contribute to wound discomfort and serous oozing as well as requiring an additional encounter for removal of staples. Although this experience is early and limited, we conclude that absorbable subcuticular staples are secure and effective and are preferable to metal staple closures even in renal transplant recipients receiving steroids and sirolimus. PMID:17488393

Tellis, Vivian A

2007-01-01

218

Corrosion resistant neutron absorbing coatings  

DOEpatents

A method of forming a corrosion resistant neutron absorbing coating comprising the steps of spray or deposition or sputtering or welding processing to form a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material. Also a corrosion resistant neutron absorbing coating comprising a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material.

Choi, Jor-Shan (El Cerrito, CA); Farmer, Joseph C. (Tracy, CA); Lee, Chuck K. (Hayward, CA); Walker, Jeffrey (Gaithersburg, MD); Russell, Paige (Las Vegas, NV); Kirkwood, Jon (Saint Leonard, MD); Yang, Nancy (Lafayette, CA); Champagne, Victor (Oxford, PA)

2012-05-29

219

Growth of cranial synchondroses and sutures requires polycystin-1  

PubMed Central

In vertebrates, coordinated embryonic and postnatal growth of the craniofacial bones and the skull base is essential during the expansion of the rostrum and the brain. Identification of molecules that regulate skull growth is important for understanding the nature of craniofacial defects and for development of non-invasive biologically based diagnostics and therapies. Here we report on spatially restricted growth defects at the skull base and in craniofacial sutures of mice deficient for polycystin-1 (Pkd1). Mutant animals reveal a premature closure of both presphenoid and sphenooccipital synchondroses at the cranial base. Furthermore, knockout mice lacking Pkd1 in neural crest cells are characterised by impaired postnatal growth at the osteogenic fronts in craniofacial sutures that are subjected to tensile forces. Our data suggest that polycystin-1 is required for proliferation of subpopulations of cranial osteochondroprogenitor cells of both mesodermal and neural crest origin during skull growth. However, the Erk1/2 signalling pathway is up-regulated in the Pkd1-deficient skeletal tissue, similarly to that previously reported for polycystic kidney. PMID:18652813

Kolpakova-Hart, Elona; McBratney-Owen, Brandeis; Hou, Bo; Fukai, Naomi; Nicolae, Claudia; Zhou, Jing; Olsen, Bjorn R.

2008-01-01

220

Needle Path Planning for Autonomous Robotic Surgical Suturing Russell C. Jackson and M. Cenk C avusoglu  

E-print Network

Needle Path Planning for Autonomous Robotic Surgical Suturing Russell C. Jackson and M. Cenk C attempts to minimize the interaction forces between the tissue and the needle. Using surgical guides. INTRODUCTION Even with the help of robotic surgical systems, suturing is a challenging and time consuming task

Cavusoglu, Cenk

221

Healing time of incision infection after hepatobiliary surgery treated by needle-free incision suture closure  

PubMed Central

AIM: To compare the effectiveness of needle-free incision suture closure with butterfly tape and traditional secondary suturing techniques in treating incision infection. METHODS: Two hundred and twenty-three patients with incision infection following hepatobiliary surgery at a tertiary hospital were randomly divided into three groups: 90 patients were closed by needle-free incision suture closure, which gradually closed the incision wound when drainage from incision infection was visibly decreased and healthy granulation tissues had grown; 79 patients were closed by butterfly bandage; another 54 patients were closed by traditional secondary suturing technique. Healing time of incision infection was calculated from the beginning of dressing change to the healing of the incision. RESULTS: Healing time in the needle-free incision suture closure group (24.2 ± 7.2 d) was significantly shorter than that in the butterfly bandage group (33.3 ± 11.2 d) and the traditional secondary suturing group (36.2 ± 15.3 d) (P < 0.05). Healing time in the butterfly bandage group appeared to be slightly shorter than that in the secondary suture group, but the difference was not statistically significant (P > 0.05). CONCLUSION: Needle-free incision suture closure could gradually close the infection wound at the same time of drainage and dressing change, thereby shortening the healing time. PMID:25400467

Ma, Wen-Jie; Zhou, Yong; Mao, Hui; Xu, Rui-Hua; Shrestha, Anuj; Li, Fu-Yu; Lorance, Alex; Yang, Qin; Zhang, Yong-Qiong; Jiang, Ting; Feng, Huan; Zhang, Wei; Cheng, Nan-Sheng

2014-01-01

222

Mechanical Properties of Cranial Bones and Sutures in 1–2-Year-Old Infants  

PubMed Central

Background The mechanical properties of 1–2-year-old pediatric cranial bones and sutures and their influential factors were studied to better understand how the pediatric calvarium reacts to loading. Material/Methods Cranial bone and suture specimens were extracted from seven fresh-frozen human infant cadavers (1.5±0.5 years old). Eight specimens were obtained from each subject: two frontal bones, two parietal bones, two sagittal suture samples, and two coronal suture samples. The specimens were tested in a three-point bend setup at 1.5 mm/s. The mechanical properties, such as ultimate stress, elastic modulus, and ultimate strain, were calculated for each specimen. Results The ultimate stress and elastic modulus of the frontal bone were higher than those of the parietal bone (P<0.05). No differences were found between the coronal and sagittal sutures in ultimate stress, elastic modulus, or ultimate strain (P>0.05). The ultimate stress and elastic modulus of the frontal and parietal bones were higher than those of the sagittal and coronal sutures (P<0.05), whereas the opposite ultimate strain findings were revealed (P<0.05). Conclusions There was no significant difference in ultimate stress, elastic modulus, or ultimate strain between the sagittal and coronal sutures. However, there were significant differences in ultimate stress, elastic modulus, and ultimate strain between the frontal and parietal bones as well as between the cranial bones and sutures. PMID:25279966

Wang, Jiawen; Zou, Donghua; Li, Zhengdong; Huang, Ping; Li, Dongri; Shao, Yu; Wang, Huijun; Chen, Yijiu

2014-01-01

223

The deadman theory of suture anchors: observations along a South Texas fence line  

Microsoft Academic Search

Suture anchors are bing increasingly reported as a means of fixation of torn rotator cuff tendons to bone. The author has developed a mechanical model for the suture anchor-rotator cuff construct based on an analogy to the deadman system used to stabilize a corner fence post. Using this model, one can demonstrate a mechanically favorable angle of insertion of the

Stephen S. Burkhart

1995-01-01

224

Roentgen Stereophotogrammetric Analysis of Growth at Cranial Vault Sutures in the Rabbit  

Microsoft Academic Search

Biometric characterization of rabbit cranial vault bone separation was attempted to further elucidate sutural growth mechanisms. The internasal and frontonasal sutures, connected to the facial skeleton, were also investigated. 17 male New Zealand white rabbits were studied from age 4 to 21 weeks using roentgen stereophotogrammetry with tantalum implants. A uniform cranial growth pattern with successively decreasing rates was observed,

Per Alberius; Goran Selvik

1983-01-01

225

Tissue-engineered Rabbit Cranial Suture from Autologous Fibroblasts and BMP2  

Microsoft Academic Search

Craniosynostosis is a congenital disorder of premature ossification of cranial sutures, occurring in one of approximately every 2500 live human births. This work addressed a hypothesis that a cranial suture can be tissue-engineered from autologous cells. Dermal fibroblasts were isolated subcutaneously from growing rabbits, culture-expanded, and seeded in a gelatin scaffold. We fabricated a composite tissue construct by sandwiching the

L. Hong; J. J. Mao

2004-01-01

226

A mathematical model for mechanotransduction at the early steps of suture formation  

PubMed Central

Growth and patterning of craniofacial sutures is subjected to the effects of mechanical stress. Mechanotransduction processes occurring at the margins of the sutures are not precisely understood. Here, we propose a simple theoretical model based on the orientation of collagen fibres within the suture in response to local stress. We demonstrate that fibre alignment generates an instability leading to the emergence of interdigitations. We confirm the appearance of this instability both analytically and numerically. To support our model, we use histology and synchrotron X-ray microtomography and reveal the fine structure of fibres within the sutural mesenchyme and their insertion into the bone. Furthermore, using a mouse model with impaired mechanotransduction, we show that the architecture of sutures is disturbed when forces are not interpreted properly. Finally, by studying the structure of sutures in the mouse, the rat, an actinopterygian (Polypterus bichir) and a placoderm (Compagopiscis croucheri), we show that bone deposition patterns during dermal bone growth are conserved within jawed vertebrates. In total, these results support the role of mechanical constraints in the growth and patterning of craniofacial sutures, a process that was probably effective at the emergence of gnathostomes, and provide new directions for the understanding of normal and pathological suture fusion. PMID:23516237

Khonsari, R. H.; Olivier, J.; Vigneaux, P.; Sanchez, S.; Tafforeau, P.; Ahlberg, P. E.; Di Rocco, F.; Bresch, D.; Corre, P.; Ohazama, A.; Sharpe, P. T.; Calvez, V.

2013-01-01

227

Medical treatment of craniosynostosis: Recombinant Noggin inhibits coronal suture closure in the rat craniosynostosis model  

PubMed Central

Introduction The mechanisms underlying craniosynostosis remains unknown. However, mutations in FGFR2 are associated with craniosynostotic syndromes. We previously compared gene expression patterns of patent and synostosing coronal sutures in the nude rat and demonstrated down regulation of Noggin in synostosing sutures. Noggin expression is also suppressed by FGF2 and constitutive FGFR2 signaling.(1–2) Thus, we therefore hypothesized that the addition of rhNoggin to prematurely fusing sutures should prevent synostosis. Materials and Methods Cohorts of nude rats were subjected to: 1) surgical elevation of the coronal suture (shams); 2) surgical elevation and placement of normal or FGFR2 mutant human osteoblasts onto the underlying dura (xenotranplants); or 3) xenotransplantation with co-application of heparin acrylic beads soaked with recombinant human (rh) Noggin. Eleven days post surgery the sutures were harvested, stained, and histologically examined. Results Animals that received control osteoblasts, sham surgery, or no surgery demonstrated normal skull growth and coronal suture histology, whereas animals transplanted only with FGFR2 mutant osteoblasts showed evidence of bridging synostosis on the calvarial dural surface. Sutures treated with FGFR2 mutant osteoblasts and rhNoggin remained patent. Conclusion The chimeric nude rate model is a viable model of craniosynostosis. FGFR2 mutations in osteoblasts induce bridging osteosynthesis demonstrating one of the mechanisms for premature suture fusion. Topical application of rhNoggin protein prevents craniosynostosis in the weanling nude rat xenotransplantation model of syndromic craniosynostosis. PMID:19627528

Shen, K; Krakora, SM; Cunningham, M; Singh, M; Wang, X; Hu, FZ; Post, JC; Ehrlich, GD

2009-01-01

228

Sensing with THz metamaterial absorbers  

E-print Network

Metamaterial perfect absorbers from microwaves to optical part of the electromagnetic spectrum has been intensely studied for its ability to absorb electromagnetic radiation. Perfect absorption of light by metamaterials have opened up new opportunities for application oriented functionalities such as efficient sensors and emitters. We present an absorber based sensing scheme at the terahertz frequencies and discuss optimized designs to achieve high frequency and amplitude sensitivities. The major advantage of a perfect metamaterial absorber as a sensor is the sensitive shift in the absorber resonance frequency along with the sharp change in the amplitude of the resonance due to strong interaction of the analyte with the electric and the magnetic fields at resonant perfect absorption frequency. We compare the sensing performance of the perfect metamaterial absorber with its complementary structural design and planar metasurface with identical structure. The best FoM values obtained for the absorber sensor here...

Cong, Longqing

2014-01-01

229

Biomechanical evaluation of suture-holding properties of native and tissue-engineered articular cartilage.  

PubMed

The purpose of this study was to determine suture-holding properties of tissue-engineered neocartilage relative to native articular cartilage. To this end, suture pull-out strength was quantified for native articular cartilage and for neocartilages possessing various mechanical properties. Suture-holding properties were examined in vitro and in vivo. Neocartilage from bovine chondrocytes was engineered using two sets of exogenous stimuli, resulting in neotissue of different biochemical compositions. Compressive and tensile properties and glycosaminoglycan, collagen, and pyridinoline cross-link contents were assayed (study 1). Suture pull-out strength was compared between neocartilage constructs, and bovine and leporine native cartilage. Uniaxial pull-out test until failure was performed after passing 6-0 Vicryl through each tissue (study 2). Subsequently, neocartilage was implanted into a rabbit model to examine short-term suture-holding ability in vivo (study 3). Neocartilage glycosaminoglycan and collagen content per wet weight reached [Formula: see text] and [Formula: see text], respectively. Tensile properties for neocartilage constructs reached [Formula: see text] MPa for Young's modulus and [Formula: see text] MPa for ultimate tensile strength. Neocartilage reached [Formula: see text]33 % of suture pull-out strength of native articular cartilage. Neocartilage cross-link content reached 50 % of native values, and suture pull-out strength correlated positively with cross-link content [Formula: see text]. Neocartilage sutured into rabbit osteochondral defects was successfully maintained for 3 weeks. This study shows that pyridinoline cross-links in neocartilage may be vital in controlling suture pull-out strength. Neocartilage produced in vitro with one-third of native tissue pull-out strength appears sufficient for construct suturing and retention in vivo. PMID:24848644

DuRaine, G D; Arzi, B; Lee, J K; Lee, C A; Responte, D J; Hu, J C; Athanasiou, K A

2015-01-01

230

Absorber coatings' degradation  

SciTech Connect

This report is intended to document some of the Los Alamos efforts that have been carried out under the Department of Energy (DOE) Active Heating and Cooling Materials Reliability, Maintainability, and Exposure Testing program. Funding for these activities is obtained directly from DOE although they represent a variety of projects and coordination with other agencies. Major limitations to the use of solar energy are the uncertain reliability and lifetimes of solar systems. This program is aimed at determining material operating limitations, durabilities, and failure modes such that materials improvements can be made and lifetimes can be extended. Although many active and passive materials and systems are being studied at Los Alamos, this paper will concentrate on absorber coatings and degradation of these coatings.

Moore, S.W.

1984-01-01

231

Electrochemically regenerable carbon dioxide absorber  

NASA Technical Reports Server (NTRS)

Preliminary designs were generated for two electrochemically regenerable carbon dioxide absorber concepts. Initially, an electrochemically regenerable absorption bed concept was designed. This concept incorporated the required electrochemical regeneration components in the absorber design, permitting the absorbent to be regenerated within the absorption bed. This hardware was identified as the electrochemical absorber hardware. The second hardware concept separated the functional components of the regeneration and absorption process. This design approach minimized the extravehicular activity component volume by eliminating regeneration hardware components within the absorber. The electrochemical absorber hardware was extensively characterized for major operating parameters such as inlet carbon dioxide partial pressure, process air flow rate, operational pressure, inlet relative humidity, regeneration current density and absorption/regeneration cycle endurance testing.

Woods, R. R.; Marshall, R. D.; Schubert, F. H.; Heppner, D. B.

1979-01-01

232

Broadband patterned magnetic microwave absorber  

NASA Astrophysics Data System (ADS)

It is a tough task to greatly improve the working bandwidth for the traditional flat microwave absorbers because of the restriction of available material parameters. In this work, a simple patterning method is proposed to drastically broaden the absorption bandwidth of a conventional magnetic absorber. As a demonstration, an ultra-broadband microwave absorber with more than 90% absorption in the frequency range of 4-40 GHz is designed and experimentally realized, which has a thin thickness of 3.7 mm and a light weight equivalent to a 2-mm-thick flat absorber. In such a patterned absorber, the broadband strong absorption is mainly originated from the simultaneous incorporation of multiple ?/4 resonances and edge diffraction effects. This work provides a facile route to greatly extend the microwave absorption bandwidth for the currently available absorbing materials.

Li, Wei; Wu, Tianlong; Wang, Wei; Zhai, Pengcheng; Guan, Jianguo

2014-07-01

233

Ameloblastin inhibits cranial suture closure by modulating MSX2 expression and proliferation.  

PubMed

Deformities of cranial sutures such as craniosynostosis and enlarged parietal foramina greatly impact human development and quality of life. Here we have examined the role of the extracellular matrix protein ameloblastin (Ambn), a recent addition to the family of non-collagenous extracellular bone matrix proteins, in craniofacial bone development and suture formation. Using RT-PCR, western blot and immunohistochemistry, Ambn was localized in mouse calvarial bone and adjacent condensed mesenchyme. Five-fold Ambn overexpression in a K14-driven transgenic mouse model resulted in delayed posterior frontal suture fusion and incomplete suture closure. Moreover, Ambn overexpressor skulls weighed 13.2% less, their interfrontal bones were 35.3% thinner, and the width between frontal bones plus interfrontal suture was 14.3% wider. Ambn overexpressing mice also featured reduced cell proliferation in suture blastemas and in mesenchymal cells from posterior frontal sutures. There was a more than 2-fold reduction of Msx2 in Ambn overexpressing calvariae and suture mesenchymal cells, and this effect was inversely proportionate to the level of Ambn overexpression in different cell lines. The reduction of Msx2 expression as a result of Ambn overexpression was further enhanced in the presence of the MEK/ERK pathway inhibitor O126. Finally, Ambn overexpression significantly reduced Msx2 down-stream target gene expression levels, including osteogenic transcription factors Runx2 and Osx, the bone matrix proteins Ibsp, ColI, Ocn and Opn, and the cell cycle-related gene CcnD1. Together, these data suggest that Ambn plays a crucial role in the regulation of cranial bone growth and suture closure via Msx 2 suppression and proliferation inhibition. PMID:23593111

Atsawasuwan, Phimon; Lu, Xuanyu; Ito, Yoshihiro; Zhang, Youbin; Evans, Carla A; Luan, Xianghong

2013-01-01

234

Perspectives on craniosynostosis: sutural biology, some well-known syndromes, and some unusual syndromes.  

PubMed

Perspectives on craniosynostosis are discussed under the following headings: sutural biology (anatomic and genetic categories of synostosis; sutures, suture systems, and types of craniosynostosis; well-known syndromes (Muenke syndrome and Pfeiffer syndrome); and unusual syndromes (thanatophoric dysplasia, Beare-Stevenson cutis gyrata syndrome, Crouzonodermoskeletal syndrome, Carpenter syndrome, Elejalde syndrome, hypomandibular faciocranial syndrome, and craniorhiny). Five of these syndromes are caused by fibroblast growth factor receptor (FGFR) mutations; one is caused by ras-like in rat brain 23 (RAB23) mutations; and three have Mendelian patterns of inheritance, but the molecular basis remains unknown to date. PMID:19293680

Cohen, M Michael

2009-03-01

235

Improvement Of The Helmholtz Absorber  

NASA Technical Reports Server (NTRS)

Helmholtz-resonator system improved to enable it to absorb sound at more than one frequency without appreciable loss of effectiveness at primary frequency. Addition of annular cavities enables absorption of sound at harmonic frequencies in addition to primary frequency. Improved absorber designed for use on structures of high transmission loss. Applied to such machines as fixed-speed engines and fans.

Morrow, Duane L.

1992-01-01

236

Leaf absorbance and photosynthesis  

NASA Technical Reports Server (NTRS)

The absorption spectrum of a leaf is often thought to contain some clues to the photosynthetic action spectrum of chlorophyll. Of course, absorption of photons is needed for photosynthesis, but the reverse, photosynthesis when there is absorption, is not necessarily true. As a check on the existence of absorption limits we measured spectra for a few different leaves. Two techniques for measuring absorption have been used, viz. the separate determination of the diffuse reflectance and the diffuse transmittance with the leaf at a port of an integrating sphere and the direct determination of the non-absorbed fraction with the leaf in the sphere. In a cross-check both methods yielded the same results for the absorption spectrum. The spectrum of a Fuchsia leaf, covering the short-wave region from 350 to 2500 nm, shows a high absorption in UV, blue and red, the well known dip in the green and a steep fall-off at 700 nm. Absorption drops to virtually zero in the near infrared, with subsequent absorptions, corresponding to the water absorption bands. In more detailed spectra, taken at 5 nm intervals with a 5 nm bandwidth, differences in chlorophyll content show in the different depths of the dip around 550 nm and in a small shift of the absorption edge at 700 nm. Spectra for Geranium (Pelargonium zonale) and Hibiscus (with a higher chlorophyll content) show that the upper limit for photosynthesis can not be much above 700 nm. No evidence, however, is to be seen of a lower limit for photosynthesis and, in fact, some experiments down to 300 nm still did not show a decrease of the absorption although it is well recognized that no photosynthesis results with 300 nm wavelengths.

Schurer, Kees

1994-01-01

237

77 FR 8117 - Medical Devices; Cardiovascular Devices; Classification of the Endovascular Suturing System  

Federal Register 2010, 2011, 2012, 2013, 2014

...Migration or fracture of the endovascular Bench testing suture. Animal testing Clinical evaluation Imaging Incompatibility...Improper deployment or inability to deploy.. Bench testing Animal testing Clinical evaluation Software validation Failure to...

2012-02-14

238

Preliminary results with sutured colonic anastomoses reinforced with dye-enhanced fibrinogen and a diode laser  

NASA Astrophysics Data System (ADS)

A common cause of morbidity in patients recovering from bowel surgery is leakage from colonic anastomoses. A technique utilizing a laser activated protein solder to strengthen colonic anastomoses in a canine model was evaluated. Following creation of six single-layer interrupted suture anastomoses in four dogs, a protein solder consisting of indocyanine green dye and fibrinogen was topically appied to the serosal surface and exposed to 808 nm continuous wave diode laser energy. Immediately following anastomosis, the mean leakage pressure of sutures alone was 129 +/- 14 mm hg (n equals 6), while the mean leakage pressure of sutures reinforced with the laser welded solder was 312 +/- 32 mm hg (n equals 6) (p <0.001). Histologic examination of sections take through the anastomosis demonstrated a layer of fibrinogen across the anastomotic gap without evidence of thermal injury. Laser activated protein solder significantly enhances the immediate strength of sutured colonic anastomoses without causing appreciable thermal injury to surrounding tissues.

Libutti, Steven K.; Williams, Matthew R.; Oz, Mehmet C.; Forde, Kenneth A.; Bass, Lawrence S.; Weinstein, Samuel; Auteri, Joseph S.; Treat, Michael R.; Nowygrod, Roman

1991-07-01

239

Bilateral squamosal suture synostosis: A rare form of isolated craniosynostosis in Crouzon syndrome.  

PubMed

Craniosynostosis is a pathologic condition which is characterized by the premature fusion of cranial sutures. It may occur alone or in association with other anomalies making up various syndromes. Crouzon syndrome is the most common craniosynostosis syndrome. Bicoronal sutures fusion is most commonly involved in Crouzon syndrome. There have only been a handful of cases of squamosal suture synostosis described in the surgery literature with the few ones described in Crouzon syndrome associated with other types of craniosynostosis. To the best of our knowledge, we are presenting the first case of isolated bilateral squamosal suture synostosis in a patient with Crouzon syndrome in a radiology journal with emphasis on its radiological appearance. PMID:25071892

Tandon, Yasmeen K; Rubin, Michael; Kahlifa, Mohamed; Doumit, Gaby; Naffaa, Lena

2014-07-28

240

21 CFR 878.5000 - Nonabsorbable poly(ethylene terephthalate) surgical suture.  

Code of Federal Regulations, 2014 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5000 Nonabsorbable poly(ethylene terephthalate) surgical suture. (a)...

2014-04-01

241

21 CFR 878.5000 - Nonabsorbable poly(ethylene terephthalate) surgical suture.  

Code of Federal Regulations, 2012 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5000 Nonabsorbable poly(ethylene terephthalate) surgical suture. (a)...

2012-04-01

242

21 CFR 878.5000 - Nonabsorbable poly(ethylene terephthalate) surgical suture.  

Code of Federal Regulations, 2011 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5000 Nonabsorbable poly(ethylene terephthalate) surgical suture. (a)...

2011-04-01

243

21 CFR 878.5000 - Nonabsorbable poly(ethylene terephthalate) surgical suture.  

Code of Federal Regulations, 2013 CFR

... FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES GENERAL AND PLASTIC SURGERY DEVICES Surgical Devices § 878.5000 Nonabsorbable poly(ethylene terephthalate) surgical suture. (a)...

2013-04-01

244

Timing of cranial suture closure in placental mammals: phylogenetic patterns, intraspecific variation, and comparison with marsupials.  

PubMed

Used as markers of postnatal growth closure sequences of 22 ectocranial sutures and synchondroses were recorded in a sample of 1161 skulls belonging to 38 species from all major placental clades: Afrotheria, Xenarthra, Laurasiatheria and Euarchontoglires (Boreoeutheria). The maximum closure level, which is not significantly correlated to body mass, is higher in Afrotheria and Xenarthra than in Boreoeutheria. Only the basioccipito-basisphenoid and the basioccipito-exoccipital synchondroses close in all species sampled, the supraoccipito-exoccipital and the inter-parietal sutures do in most species. Parsimov retrieved more heterochronic shifts for Afrotheria and Xenarthra than for Boreoeutheria. The amount of intraspecific variation differs among the species sampled being high among xenarthran species and low among afrotherians. Specimens (162) representing 12 marsupial genera were also analysed. Placentals exhibit a larger number of suture closures than marsupials and in both groups the sutures at the base of the skull are the first to fuse starting with the basioccipito-exoccipital. PMID:24127274

Rager, Lisa; Hautier, Lionel; Forasiepi, Analía; Goswami, Anjali; Sánchez-Villagra, Marcelo R

2014-02-01

245

Restoring the Labral Height for Treatment of Bankart Lesions: A Comparison of Suture Anchor Constructs  

PubMed Central

Purpose The purpose of this study was to evaluate glenoid labral heights before injury and after repair with 2 suture anchors: (1) traditional suture anchor secured with knots and (2) knotless suture anchor. Methods Ten matched pairs of human cadaveric glenoids were examined. In each specimen the labrum was detached from the 3-o’clock position to the 6:30 clock position on the anteroinferior glenoid, and labral repair was performed with either (1) traditional Bio-SutureTak suture anchors (n = 10) (Arthrex, Naples, FL) or (2) knotless PushLock suture anchors (n = 10, contralateral side) (Arthrex). By use of a 3-dimensional digitizer, the labral height, measured from the deepest point of the glenoid articular surface to the highest tip of the labrum, was measured in all specimens before injury and after repair at the 3:30, 4:30, and 5:30 clock positions. The degree of labral height increase was computed as a percent increase in labral height from before injury to after repair. Results Labral height increased significantly for all specimens from before injury (5.35 mm) to after repair (8.05 mm) (159.1% ± 13.7%, P < .0001). Increases in labral height from before injury to after repair were similar (P > .05) for Bio-SutureTak suture anchors (164.6% ± 18.7%, P < .0001) and PushLock suture anchors (153.6% ± 5.8%, P < .0001). The amount of labral height increase did not vary by anatomic location (157.0% ± 50.2%, 168.9% ± 51.0%, and 150.4% ± 35.2% at 3:30, 4:30, and 5:30, respectively; P = .46). Conclusions An increase in labral height can be achieved to create a significant height increase from before injury to after labral repair. The difference in labral height afforded by a traditional suture anchor and a knotless anchor is not statistically significant. Clinical Relevance Both traditional and knotless suture anchor constructs provide a reliable restoration of labral height in an acute Bankart model. PMID:20434654

Slabaugh, Mark A.; Friel, Nicole A.; Wang, Vincent M.; Cole, Brian J.

2013-01-01

246

The lithospheric trace of the Iapetus Suture in SW Ireland from teleseismic data  

Microsoft Academic Search

The Caledonian Iapetus Suture is a tectonic boundary resulting from the amalgamation in a three-plate configuration of Laurentia and Baltica with Avalonia. In SW Ireland, seismic stations on a wide-angle seismic profile crossing the postulated path of the Iapetus Suture have recorded a set of teleseismic events. The P-wave residual times for an earthquake in the Aleutians (end-on to the

F. Masson; F. Hauser; A. W. B. Jacob

1999-01-01

247

Biglycan mediates suture expansion osteogenesis via potentiation of Wnt/?-catenin signaling.  

PubMed

Mechanical force across sutures is known to modulate suture osteogenesis. However, the underlying mechanisms still remain poorly understood. Biglycan is a component of extracellular matrix (ECM) that is postulated to release from ECM and function as a signaling molecule. Biglycan stimulates the bone formation through Wnt/?-catenin signaling. To investigate the involvement of biglycan and Wnt/?-catenin signaling in suture expansion osteogenesis, we observed the expansion force-induced response in mouse midpalatal suture expansion model in vivo, and the mechanical strain-induced response of Wnt/?-catenin signaling in biglycan-deficient calvarial osteoblasts in vitro. Our data showed that expansion force significantly enhanced new bone formation at the edge of midpalatal sutures. Stronger biglycan positive staining was visible at the edge of expanding midpalatal sutures. The spatio-temporal expression of biglycan was highly consistent with ALP and COL-1, which also coincided with new bone formation throughout the midpalatal suture expansion process. Both protein and mRNA levels of biglycan, ?-catenin, and osteogenic markers including Runx2, ALP and COL-1 were increased together. In addition, mechanical strain sufficiently induced upregulation of osteoblastic biglycan, which was paralleled with the strain-induced potentiation of Wnt/?-catenin signaling and Runx2 transcriptional activity. However, silencing osteoblastic biglycan resulted in an attenuated increase in the expression of nuclear active ?-catenin and Runx2 in response to mechanical strain. Our data demonstrated that biglycan as a component of ECM mediates suture expansion osteogenesis through the activation of Wnt/?-catenin signaling. PMID:25560274

Wang, Hua; Sun, Wen; Ma, Junqing; Pan, Yongchu; Wang, Lin; Zhang, Wei-Bing

2015-02-01

248

Endoscopic removal of intravesical polypropylene suture with plasmakinetic resection after abdominal hysterectomy  

PubMed Central

INTRODUCTION Intravesical foreign substances such as mesh or suture are among the rare reasons of recurrent urinary tract infections. Anti-incontinence and prolapsus procedures are associated with mesh/suture extrusion into the bladder, however, this complication is uncommon with abdominal hysterectomy. PRESENTATION OF CASE A 61-year-old female, obese patient admitted to our clinic with recurrent urinary tract infections and voiding symptoms which were worsened after abdominal hysterectomy. Radiological evaluation revealed an intravesical foreign material within the bladder. The cytoscopy was performed and a polypropylene suture which was inserted from dome, passed through the base and exited from the dome of bladder during abdominal hysterectomy. Transurethral plasmakinetic resection of superficial layer of urothelium between suture entrance and exit sites was performed and suture was removed from the bladder. DISCUSSION Urogynecological procedures are associated with the increased risk of urethral or ureteral injury, intravesical mesh or suture erosion and fistulae formation. Many different techniques including open, laparoscopic and transvaginal approaches were described for the removal of intravesical mesh/suture extrusion in the literature. Transurethral approach with its minimally invasive and safe nature was used to remove suture in this patient. This technique with the use of plasmakinetic energy has the advantage of decreased risk of bleeding and urothelial injury when compared to monopolar cautery. It also avoids the need for open or extensive surgery which may have a high rate of complications. CONCLUSION Transurethral resection is the treatment of choice for the removal of intravesical foreign substances. Use of plasmakinetic energy will decrease the risk of complications and avoid the need for open interventions. PMID:25437667

Küçükdurmaz, Faruk; Can, Selman; Barut, Osman

2014-01-01

249

The use of releasable sutures in Molteno glaucoma implant procedures to reduce postoperative hypotony.  

PubMed

We used releasable sutures to minimize immediate postoperative hypotony and flat anterior chamber in 19 cases of refractory glaucoma requiring insertion of a single-plate Molteno implant in a one-stage procedure. A slip knot using 7-0 nylon suture was fashioned around the Molteno tube under a lamellar scleral flap. In 18 of the 19 eyes, anterior chamber depth was normal immediately after surgery. PMID:2038480

el-Sayyad, F; el-Maghraby, A; Helal, M; Amayem, A

1991-02-01

250

thin films as absorber  

NASA Astrophysics Data System (ADS)

Photovoltaic structures were prepared using AgSb(S x Se1- x )2 as absorber and CdS as window layer at various conditions via a hybrid technique of chemical bath deposition and thermal evaporation followed by heat treatments. Silver antimony sulfo selenide thin films [AgSb(S x Se1- x )2] were prepared by heating multilayers of sequentially deposited Sb2S3/Ag dipped in Na2SeSO3 solution, glass/Sb2S3/Ag/Se. For this, Sb2S3 thin films were deposited from a chemical bath containing SbCl3 and Na2S2O3. Then, Ag thin films were thermally evaporated on glass/Sb2S3, followed by selenization by dipping in an acidic solution of Na2SeSO3. The duration of dipping was varied as 3, 4 and 5 h. Two different heat treatments, one at 350 °C for 20 min in vacuum followed by a post-heat treatment at 325 °C for 2 h in Ar, and the other at 350 °C for 1 h in Ar, were applied to the multilayers of different configurations. X-ray diffraction results showed the formation of AgSb(S x Se1- x )2 thin films as the primary phase and AgSb(S,Se)2 and Sb2S3 as secondary phases. Morphology and elemental detection were done by scanning electron microscopy and energy dispersive X-ray analysis. X-ray photoelectron spectroscopic studies showed the depthwise composition of the films. Optical properties were determined by UV-vis-IR transmittance and reflection spectral analysis. AgSb(S x Se1- x )2 formed at different conditions was incorporated in PV structures glass/FTO/CdS/AgSb(S x Se1- x )2/C/Ag. Chemically deposited post-annealed CdS thin films of various thicknesses were used as window layer. J- V characteristics of the cells were measured under dark and AM1.5 illumination. Analysis of the J- V characteristics resulted in the best solar cell parameters of V oc = 520 mV, J sc = 9.70 mA cm-2, FF = 0.50 and ? = 2.7 %.

González, J. O.; Shaji, S.; Avellaneda, D.; Castillo, G. A.; Das Roy, T. K.; Krishnan, B.

2014-09-01

251

Galeal Tack-Up Sutures to Prevent Subgaleal Cerebrospinal Fluid Collection  

PubMed Central

Objective Postoperative subgaleal cerebrospinal fluid (CSF) collection is considered as one of the common minor surgical complication which can lead to prolonged hospitalization. We introduce "galeal tack-up suture" to prevent postoperative subgaleal CSF collection. Methods Galeal tack-up suture consists of various surgical techniques which aim to fix galea to cranium in order to prevent CSF pooling in subgaleal space. A total of 87 patients who underwent craniotomy were divided into two groups while closing the wound : group A with galeal tack-up suture and group B with routine wound closure without galeal tack-up suture. The patients were observed for postoperative subgaleal CSF collection. Results Among 87 cranitomy cases, galeal tack-up suture was performed in 32 cases and routine wound closure was done in 55 cases. Postoperative subgaleal CSF collection occurred in 13 cases (15%) in which 12 cases occurred in group B patients and 1 case occurred in group A patients (p=0.026). Conclusion Galeal tack-up suture is an easy and effective technique in wound closure to prevent postoperative CSF collection. PMID:24294458

Choi, Won Ho; Koh, Young-Cho; Chun, Young Il; Cho, Joon; Song, Sang Woo

2013-01-01

252

Outcomes of Nonpledgeted Horizontal Mattress Suture Technique for Mitral Valve Replacement  

PubMed Central

Background Most surgeons favor the pledgeted suture technique for heart valve replacements because they believe it decreases the risk of paravalvular leak (PVL). We hypothesized that the use of nonpledgeted rather than pledgeted sutures during mitral valve replacement (MVR) may decrease the incidence of prosthetic valve endocarditis (PVE) and risk of a major PVL. Methods We analyzed 263 patients, divided into 175 patients who underwent MVR with nonpledgeted sutures from January 2003 to December 2013 and 88 patients who underwent MVR with pledgeted sutures from January 1995 to December 2001. We compared the occurrence of PVL and PVE between these groups. Results In patients who underwent MVR with or without tricuspid valve surgery and/or a Maze operation, PVL occurred in 1.1% of the pledgeted group and 2.9% of the nonpledgeted group. The incidence of PVE was 2.9% in the nonpledgeted group and 1.1% in the pledgeted group. No differences were statistically significant. Conclusion We suggest that a nonpledgeted suture technique can be an alternative to the traditional use of pledgeted sutures in most patients who undergo MVR, with no significant difference in the incidence of PVL. PMID:25551070

Kim, Gun Jik; Lee, Jong Tae; Lee, Young Ok; Cho, Joon Young; Oh, Tak-Hyuk

2014-01-01

253

Suture Versus Tack Fixation of Mesh in Laparoscopic Umbilical Hernia Repair  

PubMed Central

Background and Objectives: Mesh fixation in laparoscopic umbilical hernia repair is poorly studied. We compared postoperative outcomes of laparoscopic umbilical hernia repair in suture versus tack mesh fixation. Methods: Patients who underwent laparoscopic umbilical hernia repair were separated by method of mesh fixation: sutures versus primarily tacks. Medical history and follow-up data were collected through medical records. The primary outcome of this study was the recurrence rates of hernias. Postoperative major and minor complications, such as surgical site infection, small-bowel obstruction, and seroma formation, were regarded as secondary outcomes. Additionally, a telephone interview was conducted to assess postoperative pain, recovery time, and overall patient satisfaction. Results: Eighty-six patients were identified: 33 in the suture group and 53 in the tacks group. The number of emergent cases was increased in the tacks group (6 vs 0; P = .022). Mean follow-up time was 2.7 years for both groups. Documented postoperative follow-up was obtained in 29 (90%) suture group and 31 (58%) tacks group patients. Hernia recurrence occurred in 3 and 2 patients in the sutures and tacks groups, respectively (P was not significant). No differences were found in secondary outcomes, including subjective outcomes from telephone interviews, between groups. Conclusions: There are no differences in postoperative complication rates in suture versus tack mesh fixation in laparoscopic umbilical hernia repair. PMID:24398197

Kitamura, Riley K.; Choi, Jacqueline; Lynn, Elizabeth

2013-01-01

254

Investigation of the best suture pattern to close a stuffed Christmas turkey.  

PubMed

Instructions on how to debone and stuff a turkey are available, but what is the best way to close it up? A randomised trial involving 15 turkeys was performed in order to evaluate skin disruption scores and cosmetic outcomes following the use of different suture patterns. Turkeys were deboned, stuffed and cooked according to guidelines of the US Department of Agriculture Food Safety and Inspection Services. After stuffing, they were randomly assigned to one of five closure groups: simple continuous Lembert; simple continuous Cushing; simple continuous Utrecht; simple continuous; or staples. Turkeys were cooked at 180 °C for two hours ensuring core temperature reached 75 °C. Suture line integrity was evaluated after removal of the sutures and the cosmetic aspect was graded. Before cooking, the Utrecht pattern and skin staples offered the best cosmetic result. After removal of the sutures, the skin remained intact only in the stapled group. All other suture patterns disrupted the skin after removal of the sutures, rendering the turkey less cosmetically appealing for serving. Closure of a stuffed turkey was best performed using skin staples to achieve the best cosmetic results. Using this technique you will be able to impress family and friends at a Christmas dinner, and finally show them your surgical skills. PMID:22193586

Verwilghen, D; Busoni, V; van Galen, G; Wilke, M

255

An introduction to absorbent dressings.  

PubMed

Exudate bathes the wound bed with a serous fluid that contains essential components that promote wound healing. However, excess exudate is often seen as a challenge for clinicians. Absorbent dressings are often used to aid in the management of exudate, with the aim of providing a moist but unmacerated environment. With so many different types of absorbent dressings available today-alongside making a holistic assessment-it is essential that clinicians also have the knowledge and skill to select the most appropriate absorbent dressing for a given patient. PMID:25478853

Jones, Menna Lloyd

2014-12-01

256

Absorbable Biologically Based Internal Fixation.  

PubMed

Absorbable fixation devices have developed since first being introduced. Current products are manufactured for greater strength and stiffness and slower break down. Absorbable devices for internal fixation should not be used when fracture fragments exclusively depend on screws for bearing direct load; rather, they are preferred for maintaining adequate compression and preventing displacement when some intrinsic stability exists between bones. The main advantage of absorbable internal fixation devices is their flexibility of use. A newer generation synthesized from silk has emerged and may help to overcome current limitations and address a broader range of fixation needs. PMID:25440418

Ibrahim, Ahmed M S; Koolen, Pieter G L; Kim, Kuylhee; Perrone, Gabe S; Kaplan, David L; Lin, Samuel J

2015-01-01

257

Ultrastructure, Histochemistry, and Mineralization Patterns in the Ecdysial Suture of the Blue Crab, Callinectes sapidus  

NASA Astrophysics Data System (ADS)

The ecdysial suture is the region of the arthropod exoskeleton that splits to allow the animal to emerge during ecdysis. We examined the morphology and composition of the intermolt and premolt suture of the blue crab using light microscopy and scanning electron microscopy. The suture could not be identified by routine histological techniques; however 3 of 22 fluorescein isothiocyanate-labeled lectins tested (Lens culinaris agglutinin, Vicia faba agglutinin, and Pisum sativum agglutinin) differentiated the suture, binding more intensely to the suture exocuticle and less intensely to the suture endocuticle. Back-scattered electron (BSE) and secondary electron observations of fracture surfaces of intermolt cuticle showed less mineralized regions in the wedge-shaped suture as did BSE analysis of premolt and intermolt resin-embedded cuticle. The prism regions of the suture exocuticle were not calcified. X-ray microanalysis of both the endocuticle and exocuticle demonstrated that the suture was less calcified than the surrounding cuticle with significantly lower magnesium and phosphorus concentrations, potentially making its mineral more soluble. The presence or absence of a glycoprotein in the organic matrix, the extent and composition of the mineral deposited, and the thickness of the cuticle all likely contribute to the suture being removed by molting fluid, thereby ensuring successful ecdysis.

Priester, Carolina; Dillaman, Richard M.; Gay, D. Mark

2005-12-01

258

Efficacy of Single-Suture Incision Closures in Tagged Juvenile Chinook Salmon Exposed to Simulated Turbine Passage  

SciTech Connect

Reductions in the size of acoustic transmitters implanted in migrating juvenile salmonids have resulted in the use of a shorter incision-one that may warrant only a single suture for closure. However, it is not known whether a single suture will sufficiently hold the incision closed when fish are decompressed and when outward pressure is placed on the surgical site during turbine passage through hydroelectric dams. The objective of this study was to evaluate the effectiveness of single-suture incision closures on five response variables in juvenile Chinook salmon Oncorhynchus tshawytscha that were subjected to simulated turbine passage. An acoustic transmitter (0.43 g in air) and a passive integrated transponder tag (0.10 g in air) were implanted in each fish; the 6-mm incisions were closed with either one suture or two sutures. After exposure to simulated turbine passage, none of the fish exhibited expulsion of transmitters. In addition, the percentage of fish with suture tearing, incision tearing, or mortal injury did not differ between treatments. Expulsion of viscera through the incision was higher among fish that received one suture (12%) than among fish that received two sutures (1%). The higher incidence of visceral expulsion through single-suture incisions warrants concern. Consequently, for cases in which tagged juvenile salmonidsmay be exposed to turbine passage, we do not recommend the use of one suture to close 6-mm incisions associated with acoustic transmitter implantation.

Boyd, James W.; Deters, Katherine A.; Brown, Richard S.; Eppard, M. B.

2011-09-01

259

Packed Alumina Absorbs Hypergolic Vapors  

NASA Technical Reports Server (NTRS)

Beds of activated alumina effective as filters to remove hypergolic vapors from gas streams. Beds absorb such substances as nitrogen oxides and hydrazines and may also absorb acetylene, ethylene, hydrogen sulfide, benzene, butadiene, butene, styrene, toluene, and xoylene. Bed has no moving parts such as pumps, blowers and mixers. Reliable and energy-conservative. Bed readily adapted to any size from small portable units for use where little vapor release is expected to large stationary units for extensive transfer operations.

Thomas, J. J.; Mauro, D. M.

1984-01-01

260

Countercurrent flow absorber and desorber  

DOEpatents

Countercurrent flow absorber and desorber devices are provided for use in absorption cycle refrigeration systems and thermal boosting systems. The devices have increased residence time and surface area resulting in improved heat and mass transfer characteristics. The apparatuses may be incorporated into open cycle thermal boosting systems in which steam serves both as the refrigerant vapor which is supplied to the absorber section and as the supply of heat to drive the desorber section of the system.

Wilkinson, William H. (Columbus, OH)

1984-01-01

261

Perfect selective metamaterial solar absorbers.  

PubMed

In this work, we numerically investigate the radiative properties of metamaterial nanostructures made of two-dimensional tungsten gratings on a thin dielectric spacer and an opaque tungsten film from UV to mid-infrared region as potential selective solar absorbers. The metamaterial absorber with single-sized tungsten patches exhibits high absorptance in the visible and near-infrared region due to several mechanisms such as surface plasmon polaritons, magnetic polaritons, and intrinsic bandgap absorption of tungsten. Geometric effects on the resonance wavelengths and the absorptance spectra are studied, and the physical mechanisms are elucidated in detail. The absorptance could be further enhanced in a broader spectral range with double-sized metamaterial absorbers. The total solar absorptance of the optimized metamaterial absorbers at normal incidence could be more than 88%, while the total emittance is less than 3% at 100°C, resulting in total photon-to-heat conversion efficiency of 86% without any optical concentration. Moreover, the metamaterial solar absorbers exhibit quasi-diffuse behaviors as well as polarization independence. The results here will facilitate the design of novel highly efficient solar absorbers to enhance the performance of various solar energy conversion systems. PMID:24514927

Wang, Hao; Wang, Liping

2013-11-01

262

Doubly-armed short sutures are useful for microsurgical hepatic artery reconstruction in living-related liver transplantation.  

PubMed

Although microsurgical hepatic artery reconstruction has become the essential technique in pediatric and living-related liver transplantation, it remains a technical challenge. We describe here our microsurgical hepatic artery reconstruction technique in living-related liver transplantation using a doubly-armed short suture. From August 1998 to March 1999, 8 patients underwent living-related liver transplantation at the Kyushu University. For these 8 patients, microsurgical reconstruction with doubly-armed short sutures were undertaken. After preparing the operative field for microsurgery, operative microscopy with a continuous zoom magnification is introduced. Interrupted sutures using doubly-armed short sutures are performed in a biangular stay-sutured method with a double clip. None of the 8 patients developed hepatic artery thrombosis. We conclude that the use of doubly-armed sutures allows safe and reliable in microsurgical hepatic artery reconstruction in living related liver transplantation. PMID:11020888

Ikegami, T; Nishizaki, T; Uchiyama, H; Hashimoto, K; Yanaga, K; Sugimachi, K

2000-01-01

263

Comparison of CO2 laser welding with suture technique for repair of tendons  

NASA Astrophysics Data System (ADS)

The purpose of this study was to evaluate the efficacy, histology, and strength of laser welding in repair of sharply transected rat Achilles tendons. In 26 adult, male Sprague-Dawley rats, the severed tendons were repaired with a 7-0 nylon, modified Kessler core suture followed by either a running 9-0 nylon epitendinous suture or a circumferential CO2 laser epidendinous weld using 25% human albumin as a solder. All repairs were timed and post- operative tensile strength was analyzed with material testing equipment. In addition, histologic testing was performed on both types of repairs. The mean time to complete the epitendinous repair in the laser group was 3.5 minutes and in the suture group, 8 minutes. The mean ultimate tensile strength in 6 normal tendons was 40.9 Newtons (N) with group standard deviation of 5.2 N. When compared with normal controls, post-operatively both types of tendon repairs resulted in tensile failure at lower forces. The ultimate tensile strength for the epitendinous suture repair and the laser welds were 13% and 6% of normal controls, respectively. Twenty tendons with epidendinous suture repair had mean ultimate tensile strength of 5.4 (+/- 1.2) N, while the 17 tendons with laser wends failed at 2.6 (+/- 0.9) N. Histologic evaluation of tendons repaired with CO2 laser revealed areas of coagulation and edema on the surface of tendon edges. Post-operatively, greater tissue changes were noted in laser treated tendons than those repaired with sutures. Laser welding of epitenon is possible and can be completed faster than the suture repair. The repaired tendon surface appears smoother and less bulky after laser treatment. However, significantly decreased immediate post-operative strength was demonstrated by the use of Kruskal-Wallis one way analysis of variance and Turkey's pairwise comparison.

Popovic, Neven A.; Johnstone, Frederic L.; Kilkelly, Francis X.; McKinney, LuAnn; Van De Merwe, Willem P.; Smith, Allan C.

1995-05-01

264

Does the type of suturing technique used affect astigmatism after deep anterior lamellar keratoplasty in keratoconus patients?  

PubMed Central

Purpose: To compare the effect of three different suturing techniques on astigmatism after deep anterior lamellar keratoplasty (DALK) in patients with keratoconus. Methods: In this retrospective study, 54 eyes of 54 patients with advanced keratoconus underwent DALK with three suturing techniques: single running, interrupted running, and combined interrupted and running. Postkeratoplasty astigmatism was evaluated during examinations 1, 3, and 6 months postoperatively and 2 months after completing suture removal. Results: Twenty-four eyes had single running sutures, 16 eyes had interrupted sutures, and in 14 eyes the suturing technique used was combined interrupted and running sutures. Mean age was 25.6 ± 5.9 years, 27.3 ± 6.8 years, and 26.5 ± 5.7 years (P = 0.422), and postoperative astigmatism 1 month after surgery was 3.79 ± 1.19 D, 5.56 ± 1.78 D, and 4.21 ± 1.55 D in the three groups, respectively (P = 0.012). However, 2 months after completing the suture removal, final postoperative astigmatism was 3.43 ± 1.44 D, 3.87 ± 1.38 D, and 3.71 ± 1.46 D (P = 0.846). Final astigmatism less than 4 D was seen in 18 cases (75%) in the single running group, nine cases (56.2%) in the interrupted running group, and nine cases (64.2%) in the combined interrupted and running group (P = 0.08). Conclusion: Postkeratoplasty astigmatism is comparable with three different suturing techniques used in patients with keratoconus after completing suture removal in DALK. Due to earlier suture removal in DALK, the type of suturing technique used is not considerably important. PMID:21499568

Acar, Banu Torun; Vural, Ece Turan; Acar, Suphi

2011-01-01

265

Can Suture Repair of ACL Transection Restore Normal Anteroposterior Laxity of the Knee? An Ex Vivo Study  

PubMed Central

INTRODUCTION Recent work has suggested the transected ACL can heal and support reasonable loads if repaired with sutures and a bioactive scaffold; however, use of a traditional suture configuration results in knees with increased AP laxity. The objective was to determine whether one of five different suture repair constructs when performed at two different joint positions would restore normal AP knee laxity. METHODS AP laxity of the porcine knee at 60° of flexion was evaluated for five suture repair techniques. Femoral fixation for all repair techniques utilized a suture anchor. Primary repair was to either the tibial stump, one of three bony locations in the ACL footprint, or a hybrid bony fixation. All five repairs were tied with the knee in first 30° and then 60° of flexion for a total of 10 repair constructs. RESULTS Suture repair to bony fixation points within the anterior half of the normal ACL footprint resulted in knee laxity values within 0.5 mm of the ACL-intact joint when the sutures were tied with the knee at 60° flexion. Suture repair to the tibial stump, or with the knee at 30° of flexion, did not restore normal AP laxity of the knee. CONCLUSIONS Three specific suture repair techniques for the transected porcine ACL restored the normal AP laxity of the knee at the time of surgery. Additional studies defining the changes in laxity with cyclic loading and in vivo healing are indicated. PMID:18528857

Fleming, Braden C.; Carey, James L.; Spindler, Kurt P.; Murray, Martha M.

2009-01-01

266

Development and characterisation of silver-doped bioactive glass-coated sutures for tissue engineering and wound healing applications.  

PubMed

A novel silver-doped bioactive glass powder (AgBG) was used to coat resorbable Vicryl (polyglactin 910) and non-resorbable Mersilk surgical sutures, thereby imparting bioactive, antimicrobial and bactericidal properties to the sutures. Stable and homogeneous coatings on the surface of the sutures were achieved using an optimised aqueous slurry-dipping technique. Dynamic mechanical analysis (DMA) was used to investigate the viscoelastic parameters of storage modulus and tandelta and thermal transitions of the as-received and composite (coated) sutures. The results generally showed that the bioactive glass coating did not affect the dynamic mechanical and thermal properties of the sutures. The in vitro bioactivity of the sutures was tested by immersion in simulated body fluid (SBF). After only 3 days of immersion in SBF, bonelike hydroxyapatite formed on the coated suture surfaces, indicating their enhanced bioactive behaviour. Resorbable sutures with bioactive coatings as fabricated here, in conjunction with 3-D textile technology, may provide attractive materials for producing 3-D scaffolds with controlled porosities for tissue engineering applications. The bactericidal properties imparted by the Ag-containing glass coating open also new opportunities for use of the composite sutures in wound healing and body wall repair. PMID:14643606

Blaker, J J; Nazhat, S N; Boccaccini, A R

2004-01-01

267

Mushroom plasmonic metamaterial infrared absorbers  

NASA Astrophysics Data System (ADS)

There has been a considerable amount of interest in the development of various types of electromagnetic wave absorbers for use in different wavelength ranges. In particular, infrared (IR) absorbers with wavelength selectivity can be applied to advanced uncooled IR sensors, which would be capable of identifying objects through their radiation spectrum. In the present study, mushroom plasmonic metamaterial absorbers (MPMAs) for the IR wavelength region were designed and fabricated. The MPMAs consist of a periodic array of thin metal micropatches connected to a thin metal plate with narrow silicon (Si) posts. A Si post height of 200 nm was achieved by isotropic XeF2 etching of a thin Si layer sandwiched between metal plates. This fabrication procedure is relatively simple and is consistent with complementary metal oxide semiconductor technology. The absorption spectra of the fabricated MPMAs were experimentally measured. In addition, theoretical calculations of their absorption properties were conducted using rigorous coupled wave analysis. Both the calculated and measured absorbance results demonstrated that these MPMAs can realize strong selective absorption at wavelengths beyond the period of the array by varying the micropatch width. Absorbance values greater than 90% were achieved. Dual- or single-mode absorption can also be selected by varying the width of the Si posts. Pixel structures using such MPMAs could be used as high responsivity, high resolution and fast uncooled IR sensors.

Ogawa, Shinpei; Fujisawa, Daisuke; Hata, Hisatoshi; Uetsuki, Mitsuharu; Misaki, Koji; Kimata, Masafumi

2015-01-01

268

Nonventing, Regenerable, Lightweight Heat Absorber  

NASA Technical Reports Server (NTRS)

A lightweight, regenerable heat absorber (RHA), developed for rejecting metabolic heat from a space suit, may also be useful on Earth for short-term cooling of heavy protective garments. Unlike prior space-suit-cooling systems, a system that includes this RHA does not vent water. The closed system contains water reservoirs, tubes through which water is circulated to absorb heat, an evaporator, and an absorber/radiator. The radiator includes a solution of LiCl contained in a porous material in titanium tubes. The evaporator cools water that circulates through a liquid-cooled garment. Water vapor produced in the evaporator enters the radiator tubes where it is absorbed into the LiCl solution, releasing heat. Much of the heat of absorption is rejected to the environment via the radiator. After use, the RHA is regenerated by heating it to a temperature of 100 C for about 2 hours to drive the absorbed water back to the evaporator. A system including a prototype of the RHA was found to be capable of maintaining a temperature of 20 C while removing heat at a rate of 200 W for 6 hours.

Izenson, Michael G.; Chen, Weibo

2008-01-01

269

[Microsurgical blood vessel sutures using the so-called fibrin adhesive].  

PubMed

Since the development of microvascular surgery by Jacobson and Suarez, adaptation of vessel ends of less than 1 mm diameter has been performed by means of 8-10 interrupted sutures. Even the finest suture material, however, produces a foreign body reaction. In addition, necrosis of the media can be seen after insertion of interrupted sutures. After the initial demonstration in 1940 that divided nerves could be successfully rejoined by means of factors from the blood coagulation system, this technique was introduced to microsurgery in 1977. The present investigation was carried out on 50 end-to-end anastomoses in rat common carotid arteries. Subsequently, the healing process was studied by light and electron microscopy. The adhesive used was fibrinogen cryoprecipitate (Fibrinkleber-Human-Immuno), which polymerises after simultaneous application of thrombin. Electron microscopy shows no basic difference between the healing after this technique and the healing process after trauma to the vessel wall. This method, however, prevents regional necrosis of the vessel wall and reduces intimal thickening. The condition of the intimal lining appears better than in sutured anastomoses. The question, whether this change is due only to the absence of sutures or due also to application of fibrinogen, cannot be answered, however. PMID:6763588

Meyermann, R; Ahyai, A; Pini, C

1982-01-01

270

Long-term active antimicrobial coatings for surgical sutures based on silver nanoparticles and hyperbranched polylysine.  

PubMed

The goal of this study was to develop a long-term active antimicrobial coating for surgical sutures. To this end, two water-insoluble polymeric nanocontainers based on hyperbranched polylysine (HPL), hydrophobically modified by either using glycidyl hexadecyl ether, or a mixture of stearoyl/palmitoyl chloride, were synthesized. Highly stabilized silver nanoparticles (AgNPs, 2-5?nm in size) were generated by dissolving silver nitrate in the modified HPL solutions in toluene followed by reduction with L-ascorbic acid. Poly(glycolic acid)-based surgical sutures were dip-coated with the two different polymeric silver nanocomposites. The coated sutures showed high efficacies of more than 99.5% reduction of adhesion of living Staphylococcus aureus cells onto the surface compared to the uncoated specimen. Silver release experiments were performed on the HPL-AgNP modified sutures by washing them in phosphate buffered saline for a period of 30?days. These coatings showed a constant release of silver ions over more than 30?days. After this period of washing, the sutures retained their high efficacies against bacterial adhesion. Cytotoxicity tests using L929 mouse fibroblast cells showed that the materials are basically non-cytotoxic. PMID:23574366

Ho, Chau Hon; Odermatt, Erich K; Berndt, Ingo; Tiller, Joerg C

2013-01-01

271

Upper Mantle Structure Around the Trans-European Suture Zone  

NASA Astrophysics Data System (ADS)

The Trans-European Suture Zone (TESZ) is the transition between old Proterozoic lithosphere in Northern and Eastern Europe and the younger Phanerozoic lithosphere in Central and Western Europe. The presented study is a part of the PASSEQ 2006-2008 project which is linked to the TOR project realized during 1996-1997. The PASSEQ and the TOR projects aimed to study the lithosphere and asthenosphere structure around the TESZ, but the latter was focused on the northwestern part of the TESZ between Sweden and Denmark - Germany, while the PASSEQ project was focused on the TESZ mainly beneath Poland. During the PASSEQ project 139 short-period and 49 broadband temporary seismic stations were deployed along the transect stretching from Germany throughout Czech Republic and Poland to Lithuania. The array recorded continuous seismic data from May, 2006 to June, 2008. In our study we used data of all available PASSEQ seismic stations and seismic stations of the national seismological networks of the participating countries and compiled a data set of teleseismic P-wave arrivals. The full data set consists of 8308 manually picked arrivals. Due to limited computational power we used the data of the highest quality only, i.e. 6008 picks. The non-linear teleseismic tomography algorithm TELINV was used to obtain the model of P-wave velocity perturbations in the upper mantle around the TESZ. We recovered the upper mantle structure from 70 km down to 350 km in the study area. The results show ±6.5 % P-wave velocity variations compared to the IASP91 velocity model. We found higher velocities beneath the old East European Craton (EEC) east of the TESZ and lower ones beneath the younger Western Europe west of the TESZ. The thickest litosphere was found beneath the EEC (Lithuania) where the higher velocities continue to about 300 km or even more. To the west of the TESZ under the Variscides the average depth of the lithosphere-asthenosphere boundary (LAB) is about 100 km. The TESZ appears as an intermediate tectonic structure between the EEC and Western Europe, with the asthenospere at a depth of 150-180 km. The LAB in the northern part of the TESZ has a shape of the ramp dipping NE direction at an angle of about 30 degrees. In the southern part of the TESZ the LAB is shallower, most probably due to younger tectonic settings.

Janutyte, Ilma; Majdanski, Mariusz; Voss, Peter H.; Kozlovskaya, Elena

2014-05-01

272

Damage tolerant light absorbing material  

DOEpatents

A light absorbing article comprised of a composite of carbon-bonded carbon fibers, is prepared by: blending carbon fibers with a carbonizable organic powder to form a mixture; dispersing the mixture into an aqueous slurry; vacuum molding the aqueous slurry to form a green article; drying and curing the green article to form a cured article; and, carbonizing the cured article at a temperature of at least about 1000 C to form a carbon-bonded carbon fiber light absorbing composite article having a bulk density less than 1 g/cm[sup 3]. 9 figures.

Lauf, R.J.; Hamby, C. Jr.; Akerman, M.A.; Seals, R.D.

1993-09-07

273

Damage tolerant light absorbing material  

DOEpatents

A light absorbing article comprised of a composite of carbon-bonded carbon fibers, prepared by: blending carbon fibers with a carbonizable organic powder to form a mixture; dispersing the mixture into an aqueous slurry; vacuum molding the aqueous slurry to form a green article; drying and curing the green article to form a cured article; and, carbonizing the cured article at a temperature of at least about 1000.degree. C. to form a carbon-bonded carbon fiber light absorbing composite article having a bulk density less than 1 g/cm.sup.3.

Lauf, Robert J. (Oak Ridge, TN); Hamby, Jr., Clyde (Harriman, TN); Akerman, M. Alfred (Knoxville, TN); Seals, Roland D. (Oak Ridge, TN)

1993-01-01

274

Waveform-dependent absorbing metasurfaces  

E-print Network

We present the first use of a waveform-dependent absorbing metasurface for high-power pulsed surface currents. The new type of nonlinear metasurface, composed of circuit elements including diodes, is capable of storing high power pulse energy to dissipate it between pulses, while allowing propagation of small signals. Interestingly, the absorbing performance varies for high power pulses but not for high power continuous waves (CWs), since the capacitors used are fully charged up. Thus, the waveform dependence enables us to distinguish various signal types (i.e. CW or pulse) even at the same frequency, which potentially creates new kinds of microwave technologies and applications.

Wakatsuchi, Hiroki; Rushton, Jeremiah J; Sievenpiper, Daniel F

2014-01-01

275

Waveform-Dependent Absorbing Metasurfaces  

NASA Astrophysics Data System (ADS)

We present the first use of a waveform-dependent absorbing metasurface for high-power pulsed surface currents. The new type of nonlinear metasurface, composed of circuit elements including diodes, is capable of storing high-power pulse energy to dissipate it between pulses, while allowing propagation of small signals. Interestingly, the absorbing performance varies for high-power pulses but not for high-power continuous waves (CW’s), since the capacitors used are fully charged up. Thus, the waveform dependence enables us to distinguish various signal types (i.e., CW or pulse) even at the same frequency, which potentially creates new kinds of microwave technologies and applications.

Wakatsuchi, Hiroki; Kim, Sanghoon; Rushton, Jeremiah J.; Sievenpiper, Daniel F.

2013-12-01

276

Waveform-dependent absorbing metasurfaces.  

PubMed

We present the first use of a waveform-dependent absorbing metasurface for high-power pulsed surface currents. The new type of nonlinear metasurface, composed of circuit elements including diodes, is capable of storing high-power pulse energy to dissipate it between pulses, while allowing propagation of small signals. Interestingly, the absorbing performance varies for high-power pulses but not for high-power continuous waves (CW's), since the capacitors used are fully charged up. Thus, the waveform dependence enables us to distinguish various signal types (i.e., CW or pulse) even at the same frequency, which potentially creates new kinds of microwave technologies and applications. PMID:24483674

Wakatsuchi, Hiroki; Kim, Sanghoon; Rushton, Jeremiah J; Sievenpiper, Daniel F

2013-12-13

277

Novel High Efficient Coatings for Anti-Microbial Surgical Sutures Using Chlorhexidine in Fatty Acid Slow-Release Carrier Systems  

PubMed Central

Sutures can cause challenging surgical site infections, due to capillary effects resulting in bacteria permeating wounds. Anti-microbial sutures may avoid these complications by inhibiting bacterial pathogens. Recently, first triclosan-resistances were reported and therefore alternative substances are becoming clinically relevant. As triclosan alternative chlorhexidine, the “gold standard” in oral antiseptics was used. The aim of the study was to optimize novel slow release chlorhexidine coatings based on fatty acids in surgical sutures, to reach a high anti-microbial efficacy and simultaneously high biocompatibility. Sutures were coated with chlorhexidine laurate and chlorhexidine palmitate solutions leading to 11, 22 or 33 µg/cm drug concentration per length. Drug release profiles were determined in aqueous elutions. Antibacterial efficacy against Staphylococcus aureus was assessed in agar diffusion tests. Biocompatibility was evaluated via established cytotoxicity assay (WST-1). A commercially triclosan-containing suture (Vicryl Plus), was used as anti-microbial reference. All coated sutures fulfilled European Pharmacopoeia required tensile strength and proved continuous slow drug release over 96 hours without complete wash out of the coated drug. High anti-microbial efficacy for up to 5 days was observed. Regarding biocompatibility, sutures using 11 µg/cm drug content displayed acceptable cytotoxic levels according to ISO 10993-5. The highest potential for human application were shown by the 11 µg/cm chlorhexidine coated sutures with palmitic acid. These novel coated sutures might be alternatives to already established anti-microbial sutures such as Vicryl Plus in case of triclosan-resistance. Chlorhexidine is already an established oral antiseptic, safety and efficacy should be proven for clinical applications in anti-microbial sutures. PMID:24983633

Obermeier, Andreas; Schneider, Jochen; Wehner, Steffen; Matl, Florian Dominik; Schieker, Matthias; von Eisenhart-Rothe, Rüdiger; Stemberger, Axel; Burgkart, Rainer

2014-01-01

278

Improvement of the suture-occluded method in rat models of focal cerebral ischemia-reperfusion  

PubMed Central

The aim of the present study was to provide a simple method of establishing a rat model for focal cerebral ischemia-reperfusion (FCIR). The suture-occluded method was used to establish FCIR in male Sprague-Dawley rats. An incision was made over the bifurcation of the common carotid artery (CCA), through which a suture was inserted up to the internal carotid artery (ICA). The suture remained in the skin subsequent to model establishment and was withdrawn to the CCA to enable reperfusion. The reliability of the rat model was assessed via analysis of nerve function, tetrazolium (TTC) staining and pathological examination. Following FCIR in rats, the resulting neurological impairments were observed. TTC staining revealed infarcts and pathological examination revealed typical pathological changes. This modified method was simple, reliable and, therefore, may be used to investigate FCIR. PMID:24520263

ZHANG, PING; HUANG, ZHEN; YAN, HAI-QING; SU, LIN-LIN; GUI, YONG-KUN; LV, HAI-XIA; ZHU, BIN; LI, TONG

2014-01-01

279

Limited open repair of ruptured Achilles tendons with Bunnel-type sutures.  

PubMed

A new method of repairing Achilles tendons, which uses a small medial skin incision with a Bunnel-type suture, was performed on 14 patients, and the clinical results were found satisfying. In order to restore the Achilles tendon to its original length, restore tensile strength in the suture site, and minimize injury to the sural nerve, an operative procedure has been devised which uses a limited open repair with a Bunnel-type suture. We followed 14 patients who had undergone the new procedure for a mean interval of 26 months after the injury. They returned to work in six weeks and to playing sports in 25 weeks. There were no cases of late rerupture nor injuries to the sural nerve. This technique approximated the preinjury length and resting tension of the musculo-tendinous apparatus and minimized sural nerve injury. PMID:11783926

Park, H G; Moon, D H; Yoon, J M

2001-12-01

280

Arthroscopic 4-Point Suture Fixation of Anterior Cruciate Ligament Tibial Avulsion Fractures  

PubMed Central

Tibial eminence avulsion fractures are rare injuries occurring mainly in adolescents and young adults. When necessary, regardless of patient age, anatomic reduction and stable internal fixation are mandatory for fracture healing and accurate restoration of normal knee biomechanics. Various arthroscopically assisted fixation methods with sutures, anchors, wires, or screws have been described but can be technically demanding, thus elongating operative times. The purpose of this article is to present a technical variation of arthroscopic suture fixation of anterior cruciate ligament avulsion fractures. Using thoracic drain needles over 2.4-mm anterior cruciate ligament tibial guidewires, we recommend the safe and easy creation of four 2.9-mm tibial tunnels at different angles and at specific points. This technique uses thoracic drain needles as suture passage cannulas and offers 4-point fixation stability, avoiding potential complications of bony bridge fracture and tunnel connection. PMID:25685674

Boutsiadis, Achilleas; Karataglis, Dimitrios; Agathangelidis, Filon; Ditsios, Konstantinos; Papadopoulos, Pericles

2014-01-01

281

Light-guided localization within tissue using biocompatible surgical suture fiber as an optical waveguide  

NASA Astrophysics Data System (ADS)

In breast-conserving surgery, an optical wire is a useful surgical guiding tool to optically locate small lesions within the breast tissue. However, the use of a long silica glass fiber as the optical wire can be burdensome to patients because of its stiffness and nonbiocompatibility. We investigate the use of a biocompatible fiber for light localization in tissue. A surgical suture with a diameter of 400 ?m and a few centimeters long is employed as the biocompatible optical waveguide to transport the visible laser light to the inner tissue site. Optical location is confirmed with glow ball-like red laser illumination at the tip of the suture embedded within a fresh chicken breast tissue. Effective optical power coupling to the suture is made by using a double-cladding fiber coupler. From this preliminary result, we realize practical light localization with biopolymer waveguides.

Choi, Woo June; Park, Kwan Seob; Lee, Byeong Ha

2014-09-01

282

Prevalence of Biofilms on Surgical Suture Segments in Wounds of Dogs, Cats, and Horses.  

PubMed

The formation of biofilms on surgical implants is thought to play a major role in chronic infection and wound-healing disorders and has been rarely described in veterinary medicine. Due to poor and unreliable results from bacterial culturing, histology may be an economic tool for the detection of biofilms. In this study, the prevalence of biofilms on surgical suture materials and swabs with chronic wound-healing complications in dogs, cats, and horses was assessed by histologic examination using hematoxylin and eosin, Gram, and Giemsa stains, as well as periodic acid-Schiff reaction. Of the 91 tissue samples with intralesional suture material or swab residues associated with inflammation, only 2 contained bacterial colonies arranged in an extracellular polymeric matrix consistent with a biofilm. The results of this study suggest that biofilms on suture material may occur in veterinary medicine. PMID:24994621

König, L; Klopfleisch, R; Kershaw, O; Gruber, A D

2014-07-01

283

Light-guided localization within tissue using biocompatible surgical suture fiber as an optical waveguide.  

PubMed

In breast-conserving surgery, an optical wire is a useful surgical guiding tool to optically locate small lesions within the breast tissue. However, the use of a long silica glass fiber as the optical wire can be burdensome to patients because of its stiffness and nonbiocompatibility. We investigate the use of a biocompatible fiber for light localization in tissue. A surgical suture with a diameter of 400 ?m and a few centimeters long is employed as the biocompatible optical waveguide to transport the visible laser light to the inner tissue site. Optical location is confirmed with glow ball-like red laser illumination at the tip of the suture embedded within a fresh chicken breast tissue. Effective optical power coupling to the suture is made by using a double-cladding fiber coupler. From this preliminary result, we realize practical light localization with biopolymer waveguides. PMID:25202898

Choi, Woo June; Park, Kwan Seob; Lee, Byeong Ha

2014-09-01

284

Performance Assessment of Suture Type in Juvenile Chinook Salmon Surgically Implanted with Acoustic Transmitters  

SciTech Connect

The objective of this study was to determine the best overall suture material to close incisions from the surgical implantation of Juvenile Salmon Acoustic Telemetry System (JSATS) acoustic microtransmitters in subyearling Chinook salmon Oncorhynchus tshawytscha. The effects of seven suture materials, four surgeons, and two water temperatures on suture retention, incision openness, tag retention, tissue inflammation, and tissue ulceration were quantified. The laboratory study, conducted by researchers at the Pacific Northwest National Laboratory, supports a larger effort under way for the U.S. Army Corps of Engineers, Portland District, aimed at determining the suitability of acoustic telemetry for estimating short- and longer-term (30-60 days) juvenile-salmonid survival at Columbia and Snake River dams and through the lower Columbia River.

Deters, Katherine A.; Brown, Richard S.; Carter, Kathleen M.; Boyd, James W.

2009-02-27

285

Plate fixation of premaxillomaxillary suture and compensatory midfacial growth changes in the rabbit.  

PubMed

It has been suggested that rigid fixation of the developing craniofacial skeleton may lead to altered craniofacial growth. However, recent experimental studies have shown that microplate fixation of slow-growing calvarial sutures resulted in regional growth disturbances but had little effect on overall craniofacial growth. The present study was designed to assess the effects of microplate fixation of the more rapidly growing facial sutures on compensatory midfacial growth in the rabbit. Twenty-two 1.5-week-old rabbits were randomly divided into 2 groups: sham controls (n = 11) and animals with bilateral premaxillomaxillary suture fixation (n = 11). Fixation was accomplished using an intraoral approach, a 6-mm straight Luhr microplate, and two 2-mm long self-tapping screws across each suture. Serial lateral head radiographs were collected at 1.5, 3.5, 6, 12, and 18 weeks of age. Results revealed that by 3.5 weeks, animals with rigid fixation showed significantly shortened premaxillary lengths (p < 0.05), class III occlusal relationships, decreased midfacial heights, and abnormal palatocranial base angles compared with sham control animals. By 12 weeks of age, "catch-up" growth was evident in most dimensions in animals with fixation compared with shams. Gross examination of the cleaned and dried skulls revealed bony bridging across the premaxillomaxillary suture and osseous fracture lines extending superiorly from the site of screw fixation. Results demonstrated that rigid fixation of a rapidly growing facial suture did not impair long-term midfacial growth in the rabbit model and suggest that compensatory changes may have occurred at fracture lines from the self-tapping screws in these animals. PMID:1298421

Mooney, M P; Losken, H W; Siegel, M I; Tsachakaloff, A; Losken, A; Janosky, J

1992-12-01

286

Self-tapping ability of carbon fibre reinforced polyetheretherketone suture anchors.  

PubMed

An experimental and computational investigation of the self-tapping ability of carbon fibre reinforced polyetheretherketone (CFR-PEEK) has been conducted. Six CFR-PEEK suture anchor designs were investigated using PEEK-OPTIMA® Reinforced, a medical grade of CFR-PEEK. Experimental tests were conducted to investigate the maximum axial force and torque required for self-taping insertion of each anchor design. Additional experimental tests were conducted for some anchor designs using pilot holes. Computational simulations were conducted to determine the maximum stress in each anchor design at various stages of insertion. Simulations also were performed to investigate the effect of wall thickness in the anchor head. The maximum axial force required to insert a self-tapping CFR-PEEK suture anchor did not exceed 150?N for any anchor design. The maximum torque required to insert a self-tapping CFR-PEEK suture anchor did not exceed 0.8?Nm. Computational simulations reveal significant stress concentrations in the region of the anchor tip, demonstrating that a re-design of the tip geometry should be performed to avoid fracture during self-tapping, as observed in the experimental component of this study. This study demonstrates the ability of PEEK-OPTIMA Reinforced suture anchors to self-tap polyurethane foam bone analogue. This provides motivation to further investigate the self-tapping ability of CFR-PEEK suture anchors in animal/cadaveric bone. An optimised design for CFR-PEEK suture anchors offers the advantages of radiolucency, and mechanical properties similar to bone with the ability to self-tap. This may have positive implications for reducing surgery times and the associated costs with the procedure. PMID:24825760

Feerick, Emer M; Wilson, Joanne; Jarman-Smith, Marcus; Ó'Brádaigh, Conchur M; McGarry, J Patrick

2014-10-01

287

Impact of delirium and suture-less securement on accidental vascular catheter removal in the ICU.  

PubMed

The objectives were to describe the incidence of accidental vascular catheter removal (AVCR) in an Australian Intensive Care Unit (ICU) and evaluate whether the fixation method or patient delirium increased the risk of AVCR. This prospective observational study was based in a tertiary level ICU between April 2011 and October 2012. All vascular catheters were secured either by sutures or by a suture-less securement device (STATLOCK(™), Bard Medical, Covington, GA, USA) as per the treating clinician. Data were obtained from bedside nursing staff, with daily screening for delirium completed by the ICU medical team using the Confusion Assessment Method-ICU. 2361 patients were admitted during this period with 1032 patients screened and data available for 322 patients (452 vascular catheters). AVCR occurred in 15 patients (16 vascular catheters) (5.0%) with an incidence of AVCR of 2.77 per 100 catheter-days. Delirious patients were 13-fold more likely to have an AVCR event (odds ratio=13.3; 95% confidence interval 4.36, 40.52; P <0.0001). There was a non-significant trend to an increase in AVCR when using the suture-less securement device (odds ratio=2.6; 95% confidence interval 0.87, 7.8; P=0.09) but delirious patients were no more likely to have an AVCR episode when a suture-less securement device was used (P=0.95). In this study the use of suture-less securement did not seem to increase the risk of AVCR. However, there was a non-significant trend towards increased AVCR when using suture-less securement devices, which may reflect a ß error. PMID:24967762

Sundararajan, K; Wills, S; Chacko, B; Kanabar, G; O'Connor, S; Deane, A M

2014-07-01

288

Systems Analysis Of Absorbing Media  

NASA Astrophysics Data System (ADS)

A complete treatment of the characteristic admittance-matrix representation of multilayer thin-film systems with absorbing media is presented. The algorithm from the systems' analysis is implemented on an IBM microcomputer and some examples of filter design calculations are presented. Relevant source code in IBM ADVANCED BASIC interpreter are also included.

Lim, Y. K.; Seeley, J. S.

1986-10-01

289

Heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures  

Microsoft Academic Search

Objective: To present a case of a heterotopic cervical pregnancy successfully treated with transvaginal ultrasound-guided aspiration and cervical-stay sutures.Design: Case report.Setting: Tertiary academic IVF program.Patient(s): A 35-year-old woman who conceived from IVF-ET treatment at 5.5 weeks of gestation.Intervention(s): Transvaginal ultrasound–guided aspiration of the cervical pregnancy followed by cervical-stay sutures to control hemorrhage after aspiration.Main Outcome Measure(s): Recovery of the patient,

Dehan Chen; Isaac Kligman; Zev Rosenwaks

2001-01-01

290

Beating-heart mitral valve suture annuloplasty under real-time three-dimensional echocardiography guidance: an ex vivo study.  

PubMed

We are developing an alternative mitral valve suture annuloplasty technique on the beating-heart under real-time three-dimensional echocardiography (RT3DE) guidance. The purpose of this initial study was to evaluate a feasibility of this technique using commercially available suturing devices (Sutur Tek Endo 360-degree, Sutur Tek Inc, North Chelmsford, MA, USA). Isolated porcine hearts (n=10) were mounted in a water-filled tank and attached to an ex vivo pulse simulation device, where varying left ventricle pressures with associated valve motion were generated by pulsatile flow through an apical cannula. The suturing device was inserted through the left atrium. Intra-annular (De Vega type) suture annuloplasty was performed under RT3DE guidance. The procedure was successfully performed in all cases. The diameter of the annulus was effectively reduced (85.5+/-4.2% of original antero-posterior dimension, 86.7+/-6.1% of original transverse dimension). The number of tissue bites was 7.4+/-0.8. The maximum distance between the annulus and sutures placed was 1.1 mm. The total procedure time was 9.4+/-2.4 min. There was no collateral tissue injury in any of the cases. This ex vivo study demonstrates the feasibility of beating-heart mitral valve suture annuloplasty under RT3DE guidance. PMID:20395245

Kawata, Mitsuhiro; Vasilyev, Nikolay V; Perrin, Douglas P; del Nido, Pedro J

2010-07-01

291

Impingement syndrome of the shoulder following double row suture anchor technique for arthroscopic rotator cuff repair: a case report  

Microsoft Academic Search

INTRODUCTION: Arthroscopic repair of the rotator cuff is a demanding surgery. Accurate placement of anchors is key to success. CASE PRESENTATION: A 38-year-old woman received arthroscopic repair of her rotator cuff using a double row suture anchor technique. Postoperatively, she developed impingement syndrome which resulted from vertical displacement of a suture anchor once the shoulder was mobilised. The anchor was

Rohit Rambani; Roger G Hackney

2009-01-01

292

Modeling of Needle-Tissue Interaction Forces During Surgical Suturing Russell C. Jackson and M. Cenk C avusoglu  

E-print Network

the forces experienced during a suture. I. INTRODUCTION Even with the assistance of robotic surgical systems such as the daVinci R system (Intuitive Surgical, Sunnyvale, Califor- nia). Even though the daVinci R robotModeling of Needle-Tissue Interaction Forces During Surgical Suturing Russell C. Jackson and M

Cavusoglu, Cenk

293

Long-Term Safety and Visual Outcomes of Transscleral Sutured Posterior Chamber IOLs and Penetrating Keratoplasty Combined with Transscleral Sutured Posterior Chamber IOLs  

PubMed Central

Purpose: To evaluate the outcomes of consecutive patients who underwent transscleral sutured posterior chamber intraocular lens (TS PCIOL) implantation as well as patients who had combined penetrating keratoplasty (PK) and TS PCIOL. Methods: Data from all patients who had sutured PCIOL insertion performed by the same surgeon (V.S.N.) between January 2003 and June 2007 were compiled and analyzed. Results: Group 1 consisted of 69 eyes of 67 patients who had TS PCIOL only. Mean age was 65.1 years, and mean follow-up was 14.25 months. Mean best spectacle-corrected visual acuity (BSCVA) was 20/80 preoperatively and 20/40 postoperatively. Group 2 consisted of 38 eyes of 37 patients who had combined PK and TS PCIOL. Mean age was 70.21 years, and mean follow-up was 14.29 months. Mean BSCVA was <20/250 preoperatively and between 20/70 and 20/80 postoperatively. In both groups, there were no reported cases of choroidal hemorrhage or hyphema. There was one case (0.9%) of suture erosion (group 1). There were no redislocations, lens tilting, suture breakage, or graft rejections. Postoperative complications included uveitis in 1 eye (0.9%), glaucoma in 5 (4.7%), cystoid macular edema in 6 (5.6%), and retinal detachment in 2 (1.9%). Conclusions: The TS PCIOL procedure, as done by the ab externo method, is safe and effective. It has few intraoperative or postoperative complications, and it improves visual acuity in patients requiring either TS PCIOL alone or combined PK and TS PCIOL. Ultimately, in considering TS PCIOL, patient selection, surgical method, and the surgeon’s comfort with the technique must be weighed. PMID:20126501

Nottage, Jennifer Marie; Bhasin, Vikram; Nirankari, Verinder S.

2009-01-01

294

www.ecmjournal.org J Regelsberger et al. Cranial suture synostosisEuropean Cells and Materials Vol. 24 2012 (pages 441-458) ISSN 1473-2262  

E-print Network

441 www.ecmjournal.org J Regelsberger et al. Cranial suture synostosisEuropean Cells and Materials Vol. 24 2012 (pages 441-458) ISSN 1473-2262 Abstract Premature fusion of cranial sutures is a common/genetic factors affecting suture function, the complex process of premature fusion is still poorly understood

Ritchie, Robert

295

Sequential lift and suture technique for post-lasik corneal striae 1 1 Neither author has a financial interest in any product mentioned  

Microsoft Academic Search

We describe a surgical technique to manage persistent corneal striae after laser in situ keratomileusis (LASIK). The sequential lift and suture technique reduces the time required for LASIK, eliminates the need to fixate the flap with forceps during suturing, and increases the accuracy of suture placement. The results in 10 eyes (9 patients) showed complete resolution of striae with improvement

Richard J Mackool; Vivian R Monsanto

2003-01-01

296

Relationship of Premaxillary Bone and Its Sutures to Deciduous Dentition in Nonhuman Primates  

E-print Network

Relationship of Premaxillary Bone and Its Sutures to Deciduous Dentition in Nonhuman Primates K). This study surveyed the relationship of the PS to the upper deciduous dentition in nonhuman primates dentition relative to the PS was assessed. In sections of selected specimens, observations of bone cells

Dumont, Elizabeth R.

297

Suture-related urolithiasis following repair of inadvertent prostatectomy in a dog  

PubMed Central

A 10-month-old male chow chow mixed breed dog was presented for anuria secondary to inadvertent prostatectomy performed during unilateral cryptorchidectomy. Surgical repair was successfully performed; however, this resulted in suture-associated urolith formation 3 months later, requiring a second surgical intervention and urethrostomy. PMID:23277648

Puttick, Jennifer L.; Sereda, Colin W.

2012-01-01

298

Virtual suturing simulation based on commodity physics engine for medical learning.  

PubMed

Development of virtual-reality medical applications is usually a complicated and labour intensive task. This paper explores the feasibility of using commodity physics engine to develop a suturing simulator prototype for manual skills training in the fields of nursing and medicine, so as to enjoy the benefits of rapid development and hardware-accelerated computation. In the prototype, spring-connected boxes of finite dimension are used to simulate soft tissues, whereas needle and thread are modelled with chained segments. Spherical joints are used to simulate suture's flexibility and to facilitate thread cutting. An algorithm is developed to simulate needle insertion and thread advancement through the tissue. Two-handed manipulations and force feedback are enabled with two haptic devices. Experiments on the closure of a wound show that the prototype is able to simulate suturing procedures at interactive rates. The simulator is also used to study a curvature-adaptive suture modelling technique. Issues and limitations of the proposed approach and future development are discussed. PMID:21165761

Choi, Kup-Sze; Chan, Sze-Ho; Pang, Wai-Man

2012-06-01

299

AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY80:417-428 (1989) Endocranial Suture Closure in Rhesus Macaques  

E-print Network

AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY80:417-428 (1989) Endocranial Suture Closure in Rhesus, AND CHARLES HILDEBOLT Department of Anthropology, State University of New York,Albany, New York 12222 (D.F.), Departments of Anthropology (L.K.,J.C.)and Cell Biology and Anatomy (J.C.), Northwestern University, Evanston

Cheverud, James M.

300

Diamine oxidase (DAO) activity and intestinal mucosa integrity: influence of suture techniques  

Microsoft Academic Search

After various kinds of intestinal mucosal injuries, whether by disease or by experiment, the diamine oxidase activity is reduced. Therefore, we studied the effect of surgical manipulations on the intestinal mucosa and diamine oxidase activity. The reaction of the gut on the insertion of sutures was a transient increase of the enzymic activity followed by reduction as soon as the

R. Mennigen; J. Kusche; L. Leisten; K. Erpenbach

1987-01-01

301

An innovative method to evaluate the suture compliance in sealing the surgical wound lips  

Microsoft Academic Search

Background and aim: The increasing number of surgical procedures performed with local anesthesia, followed by immediate patient discharge from the hospital, emphasizes the need for a tight waterproof suture that is ca- pable of maintaining its tensile strength in the postoperative phase when the wound tumescence, edema due to the anesthetic drug, and surgical trauma disappear. Moreover, the issue of

Farid Saleh; Beniamino Palmieri; Danielle Lodi; Khalid Al-Sebeih

302

Postoperative Pain After Laparoscopic Ventral Hernia Repair: a Prospective Comparison of Sutures Versus Tacks  

PubMed Central

Background and Objectives: Mesh fixation in laparoscopic ventral hernia repair typically involves the use of tacks, transabdominal permanent sutures, or both of these. We compared postoperative pain after repair with either of these 2 methods. Methods: Patients undergoing laparoscopic ventral hernia repair at the Mount Sinai Medical Center were prospectively enrolled in the study. They were sorted into 2 groups (1) those undergoing hernia repairs consisting primarily of transabdominal suture fixation and (2) those undergoing hernia repairs consisting primarily of tack fixation. The patients were not randomized. The technique of surgical repair was based on surgeon preference. A telephone survey was used to follow-up at 1 week, 1 month, and 2 months postoperatively. Results: From 2004 through 2005, 50 patients were enrolled in the study. Twenty-nine had hernia repair primarily with transabdominal sutures, and 21 had repair primarily with tacks. Both groups had similar average age, BMI, hernia defect size, operative time, and postoperative length of stay. Pain scores at 1 week, 1 month, and 2 months were similar. Both groups also had similar times to return to work and need for narcotic pain medication. Conclusions: Patients undergoing laparoscopic ventral hernia repair with primarily transabdominal sutures or tacks experience similar postoperative pain. The choice of either of these fixation methods during surgery should not be based on risk of postoperative pain. PMID:18435881

Nguyen, Scott Q.; Buch, Kerri E.; Schnur, Jessica; Weber, Kaare J.; Katz, L. Brian; Reiner, Mark A.; Aldoroty, Robert A.; Herron, Daniel M.

2008-01-01

303

Percutaneous Retrieval of a Central Venous Catheter Sutured to the Wall of the Right Atrium  

SciTech Connect

A transjugular central venous catheter was inadvertently sutured to the wall of the right atrium in a 63-year-old female during coronary bypass surgery. Using two nitinol Goose Neck snares via a transfemoral and a transjugular approach the catheter was severed into two pieces and retrieved percutaneously.

Neuerburg, Joerg-M.; Guenther, Rolf W. [Department of Diagnostic Radiology, University of Technology Aachen, Pauwelsstrasse 30, D-52057 Aachen (Germany); Chalabi, Khaled [Department of Vascular and Thoracic Surgery, University of Technology Aachen, Pauwelsstrasse 30, D-52057 Aachen (Germany); Hunter, David [Department of Radiology, Fairview-University Medical Center, 420 Delaware Street S.E., Box 292, Minneapolis, MN 55455 (United States)

1999-01-15

304

Subpectoral biceps tenodesis: a new technique using an all-suture anchor fixation.  

PubMed

There are several options for LHB tenodesis; yet, there is no standard of care. This technical note describes an extramedullary all-suture anchor technique for LHB tenodesis that is similar to the extramedullary cortical button technique. The LHB tenodesis is performed by using the Y-Knot (1.3-mm; ConMed Linvatec, Largo, FL).The biceps tenotomy is completed arthroscopically, and a standard subpectoral approach is used for the tenodesis. A reamer is first used to drill through the anterior cortex of the humerus; subsequently, a 1.3-mm drill bit is used to drill through the posterior cortex. The Y-Knot anchor is passed through the bone tunnel and secured on the posterior cortical bone. A modified rolling hitch suture is placed 10 mm distal to the end of the LHB tendon by using one suture limb of the Y-Knot anchor. The other suture limb is pulled to shuttle the LHB tendon into the humerus, and the construct is fixed by tying down one limb to the other. This technical note describes an alternative method for subpectoral biceps tenodesis and uses a small drill hole, conserves bone, and minimizes trauma to the tendon. Level of evidence V. PMID:25274091

Su, Wei-Ren; Ling, Florence Y; Hong, Chih-Kai; Chang, Chih-Hsun; Lin, Cheng-Li; Jou, I-Ming

2014-10-01

305

The use of clip-suture in thoracic sympathectomy. Technical note.  

PubMed

A technique is described for using a clip-suture to expedite handling of the divided sympathetic chain in a deep, small upper-thoracic exposure. No late failures were experienced in 23 patients with hyperhydrosis surgically treated using this technique. PMID:8057160

Beatty, R A

1994-09-01

306

Material Properties of Human Infant Skull and Suture at High Rates  

Microsoft Academic Search

Clinicians are often faced with the challenging task of distinguishing between accidental and in- flicted pediatric head trauma. There is currently a disparity in the anecdotal case study literature as to what kinds of injuries can occur in children from low height falls. There is also a paucity of material property data for pediatric skull and suture at rates similar

Brittany Coats; Susan S. Margulies

2006-01-01

307

Arachnoid Membrane Suturing for Prevention of Subdural Fluid Collection in Extracranial-intracranial Bypass Surgery  

PubMed Central

Objective Water-tight closure of the dura in extracranial-intracranial (EC-IC) bypass is impossible because the superficial temporal artery (STA) must run through the dural defect. Consequently, subdural hygroma and subcutaneous cerebrospinal fluid (CSF) collection frequently occur postoperatively. To reduce these complications, we prospectively performed suturing of the arachnoid membrane after STA-middle cerebral artery (STA-MCA) and evaluated the clinical usefulness. Materials and Methods Between Mar. 2005 and Oct. 2010, extracranial-intracranial arterial bypass (EIAB) with/without encephalo-myo-synangiosis was performed in 88 cases (male : female = 53 : 35). As a control group, 51 patients (57 sides) underwent conventional bypass surgery without closure of the arachnoid membrane. Postoperative computed tomography (CT) scan was performed twice in three days and seven days later, respectively, for evaluation of the presence of subdural fluid collection and other mass lesions. Results The surgical result was excellent, with no newly developing ischemic event until recent follow-up. The additional time needed for arachnoid suture was five to ten minutes, when three to eight sutures were required. Post-operative subdural fluid collection was not seen on follow-up computed tomography scans in all patients. Conclusion Arachnoid suturing is simple, safe, and effective for prevention of subdural fluid collection in EC-IC bypass surgery, especially the vulnerable ischemic hemisphere. PMID:25045645

Kim, Gun Woo; Kim, Tae Sun; Moon, Hyung Sik; Jang, Jae Won; Seo, Bo Ra; Lee, Jung Kil; Kim, Jae Hyoo; Kim, Soo Han

2014-01-01

308

Aortic Valve Replacement Using Continuous Suture Technique in Patients with Aortic Valve Disease  

PubMed Central

Background The continuous suture (CS) technique has several advantages as a method for simple, fast, and secure aortic valve replacement (AVR). We used a simple CS technique without the use of a pledget for AVR and evaluated the surgical outcomes. Materials and Methods Between October 2007 and 2012, 123 patients with aortic valve disease underwent AVR alone (n=28) or with other concomitant cardiac procedures (n=95), such as mitral, tricuspid, or aortic surgery. The patients were divided into two groups: the interrupted suture (IS) group (n=47), in which the conventional IS technique was used, and the CS group (n=76), in which the simple CS technique was used. Results There were two hospital deaths (1.6%), which were not related to the suture technique. There were no significant differences in cardiopulmonary bypass time or aortic cross-clamp time between the two groups for AVR alone or AVR with concomitant cardiac procedures. In the IS group, two patients had prosthetic endocarditis and one patient experienced significant perivalvular leak. These patients underwent reoperations. In the CS group, there were no complications related to the surgery. Postoperatively, the two groups had similar aortic valve gradients. Conclusion The simple CS method is useful and secure for AVR in patients with aortic valve disease, and it may minimize surgical complications, as neither pledgets nor braided sutures are used. PMID:24003405

Kim, Jong Hun; Park, Hyun Kyu; Kim, Kyung Hwa; Kim, Min Ho; Kuh, Ja Hong; Jo, Jung Ku

2013-01-01

309

Energy-Absorbing, Lightweight Wheels  

NASA Technical Reports Server (NTRS)

Improved energy-absorbing wheels are under development for use on special-purpose vehicles that must traverse rough terrain under conditions (e.g., extreme cold) in which rubber pneumatic tires would fail. The designs of these wheels differ from those of prior non-pneumatic energy-absorbing wheels in ways that result in lighter weights and more effective reduction of stresses generated by ground/wheel contact forces. These wheels could be made of metals and/or composite materials to withstand the expected extreme operating conditions. As shown in the figure, a wheel according to this concept would include an isogrid tire connected to a hub via spring rods. The isogrid tire would be a stiff, lightweight structure typically made of aluminum. The isogrid aspect of the structure would both impart stiffness and act as a traction surface. The hub would be a thin-walled body of revolution having a simple or compound conical or other shape chosen for structural efficiency. The spring rods would absorb energy and partially isolate the hub and the supported vehicle from impact loads. The general spring-rod configuration shown in the figure was chosen because it would distribute contact and impact loads nearly evenly around the periphery of the hub, thereby helping to protect the hub against damage that would otherwise be caused by large loads concentrated onto small portions of the hub.

Waydo, Peter

2003-01-01

310

Complications after subpectoral biceps tenodesis using a dual suture anchor technique  

PubMed Central

Purpose: A variety of fixation techniques for subpectoral biceps tenodeses have been described including interference screw and suture anchor fixation. Biomechanical data suggests that dual suture anchor fixation has equivalent strength compared to interference screw fixation. The purpose of the study is to determine the early complication rate after subpectoral biceps tenodesis utilizing a dual suture anchor technique. Materials and Methods: A total of 103 open subpectoral biceps tenodeses were performed over a 3-year period using a dual suture anchor technique. There were 72 male and 31 female shoulders. The average age at the time of tenodesis was 45.5 years. 41 patients had a minimum of 6 months clinical follow-up (range, 6 to 45 months). The tenodesis was performed for biceps tendonitis, superior labral tears, biceps tendon subluxation, biceps tendon partial tears, and revisions of prior tenodeses. Results: There were a total of 7 complications (7%) in the entire group. There were 4 superficial wound infections (4%). There were 2 temporary nerve palsies (2%) resulting from the interscalene block. One patient had persistent numbness of the ear and a second patient had a temporary phrenic nerve palsy resulting in respiratory dysfunction and hospital admission. One patient developed a pulmonary embolism requiring hospital admission and anticoagulation. There were no hematomas, wound dehiscences, peripheral nerve injuries, or ruptures. In the sub-group of patients with a minimum of 6 months clinical follow-up, the only complication was a single wound infection treated with oral antibiotics. Conclusions: Subpectoral biceps tenodesis utilizing a dual suture anchor technique has a low early complication rate with no ruptures or deep infections. The complication rate is comparable to those previously reported for interference screw subpectoral tenodesis and should be considered as a reasonable alternative to interference screw fixation. Level of Evidence: Level IV-Retrospective Case Series PMID:25114415

Abtahi, Amir M.; Granger, Erin K.; Tashjian, Robert Z.

2014-01-01

311

Effect of Glucocorticoid (Triamcinolone Acetonide) Pre-treatment in a Murine Penetrating Keratoplasty and Suture Model  

PubMed Central

Purpose To evaluate the effect of glucocorticoid (triamcinolone acetonide injectable suspension) pre-treatment on corneal neovascularization, lymphangiogenesis, and inflammation in a murine penetrating keratoplasty (PK) and corneal suture model. Methods For the PK model, BALB/c mice were used as recipients and C57BL/6 mice were used as donors. A group pre-treated with subconjunctival glucocorticoid and a combination of post-subconjunctival and topical glucocorticoids (Group I) was compared to two groups that did not receive glucocorticoid pre-treatment (one group received a combination of subconjunctival and topical glucocorticoids post-op (Group II), the other group received only topical glucocorticoid treatment post-op (Group III)). All groups were treated with subconjunctival glucocorticoid on the day of surgery. For the corneal suture model BALB/c mice were used. A group receiving only pre-suture glucocorticoid treatment (Group A) and a group receiving only post-suture glucocorticoid treatment (Group C) were compared to a control group that did not receive glucocorticoid therapy (Group B). The degree of neovascularization, lymphangiogenesis, and inflammatory infiltration was compared in each of these models. Results In the PK model, the group receiving glucocorticoid pre-treatment (Group I) showed less neovascularization compared to the post-treatment only groups (Group II: p=0.043, Group III: p=0.020) and less lymphangiogenesis compared to Group III (p=0.005). In the corneal suture model, the glucocorticoid pre-treatment group showed a similar level of neovascularization, lymphangiogenesis, and inflammatory infiltration as the post-treatment only groups (p>0.05). Conclusion Glucocorticoid pretreatment prior to penetrating keratoplasty decreases neovascularization and lymphangiogenesis compared to post-transplant glucocorticoid treatment alone. PMID:22677639

Cho, Yang Kyung; Uehara, Hironori; Young, Jason R.; Archer, Bonnie; Ambati, Balamurali K.

2012-01-01

312

Inhibition of secondary cartilage of the intermaxillary suture in Sprague-Dawley rats following the enucleation of maxillary molars  

SciTech Connect

A single craniofacial suture can undergo several morphologic transformations during its development. From 3 to 7 weeks of age, the intermaxillary suture of the rat is synchondrotic in character, featuring secondary cartilage; at later times, this suture is syndesmotic in character, featuring a fibrous tissue interface. Since intermittent mechanical stimulation has been reported to initiate secondary cartilage formation, a study was done to determine if the functioning dentition were responsible for secondary cartilage formation in the intermaxillary suture of the rat. Twenty-two female Sprague-Dawley rats were used. At 3 weeks of age, prior to eruption, the maxillary molars were enucleated from nine animals. Body weights were recorded weekly. Animals were sacrificed weekly from 4 to 7 weeks of age. One hour prior to sacrifice, each rat was injected with (/sup 35/S)sulfate at a dosage of 2 microCi/g body weight. The tissues were evaluated by light microscopy and autoradiography. In the experimental group, the midpalatal suture did not undergo the normal synchondrotic transformation. Instead, this suture remained fibrous with negligible metachromatic staining. In the control animals, the peak period of (/sup 35/S)sulfate incorporation was 4 weeks of age and was five times greater than in the experimental group. The primary stimulus for the initiation of secondary cartilage formation in the midpalatal suture of the rat was molar function. Also, functioning molars were found to be important in the maintenance of the palatal bone.

Forbes, D.P.; Al-Bareedi, S.

1986-01-01

313

Improving the laboratory monitoring of absorbent oil  

SciTech Connect

The performance of absorbent coal tar oil is analyzed as a function of the constituent and group composition. The qualitative and quantitative composition of the oil that ensures the required absorbent properties is determined. Operative monitoring may be based on absorbent characteristics that permit regulation of the beginning and end of regeneration.

V.S. Shved; S.S. Sychev; I.V. Safina; S.A. Klykov [OAO Koks, Kemerovo (Russian Federation)

2009-05-15

314

Embedded absorbers for helicopter rotor lag damping  

Microsoft Academic Search

Radial and chordwise damped vibration absorbers embedded in the rotor blade are compared for rotor lag damping augmentation. Results show that the radial absorber is more effective in transferring damping to the rotor blade lag mode. The chordwise absorber needs to be at a more outboard location and have a larger mass to introduce levels of lag damping comparable to

Lynn Byers; Farhan Gandhi

2009-01-01

315

Embedded absorbers for helicopter rotor lag damping  

NASA Astrophysics Data System (ADS)

Radial and chordwise damped vibration absorbers embedded in the rotor blade are compared for rotor lag damping augmentation. Results show that the radial absorber is more effective in transferring damping to the rotor blade lag mode. The chordwise absorber needs to be at a more outboard location and have a larger mass to introduce levels of lag damping comparable to that introduced by the radial absorber. The 1/rev amplitude of a chordwise absorber at the blade tip, per degree of blade lead-lag motion in forward flight, is of the order of 35% of the blade chord, and such a stroke might be difficult to accommodate. The 1/rev amplitude of a radial absorber at 70% span (having significantly lower mass than the chordwise absorber and producing comparable lag damping) is of the order of 4% of the rotor blade span. The static displacement of the radial absorber under centrifugal load needs to be limited using a frequency-dependent (high static stiffness, low dynamic stiffness) or nonlinear spring. The chordwise absorber can also undergo a large static displacement under the chordwise component of the centrifugal load if there is an offset from the feather axis, and this would again have to be limited using a strategy such as a frequency-dependent spring. Significant advantages of the radial absorber are—higher lag damping, lower absorber mass, space for absorber mass travel, and no chordwise travel of blade center of gravity reducing susceptibility to aeroelastic instability and dynamic pitch-link loads.

Byers, Lynn; Gandhi, Farhan

2009-09-01

316

The potential of photoacoustic microscopy as a tool to characterize the in vivo degradation of surgical sutures.  

PubMed

The ex vivo and in vivo imaging, and quantitative characterization of the degradation of surgical sutures (?500 ?m diameter) up to ?1cm depth is demonstrated using a custom dark-field photo-acoustic microscope (PAM). A practical algorithm is developed to accurately measure the suture diameter during the degradation process. The results from tissue simulating phantoms and mice are compared to ex vivo measurements with an optical microscope demonstrating that PAM has a great deal of potential to characterize the degradation process of surgical sutures. The implications of this work for industrial applications are discussed. PMID:25136508

Aguirre, Juan; Morales-Dalmau, Jordi; Funk, Lutz; Jara, Francesc; Turon, Pau; Durduran, Turgut

2014-08-01

317

Rabbit cranial sutures in vitro: A new experimental model for studying the response of fibrous joints to mechanical stress  

Microsoft Academic Search

Summary  An organ culture system has been developed whereby mechanical stress can be applied to cranial sutures under controlled experimental\\u000a conditions.\\u000a \\u000a The application of a continuous tensile mechanical stress (30 g) to cranial sutures from newborn rabbits (1–2 days) was accompanied\\u000a by a significant increase in the incorporation of3H-leucine and3H-proline into suture protein. The specific activities of3H-hydroxyproline indicated that mechanical stress

Murray C. Meikle; John J. Reynolds; Anthony Sellers; John T. Dingle

1979-01-01

318

The potential of photoacoustic microscopy as a tool to characterize the in vivo degradation of surgical sutures  

PubMed Central

The ex vivo and in vivo imaging, and quantitative characterization of the degradation of surgical sutures (?500 ?m diameter) up to ?1cm depth is demonstrated using a custom dark-field photo-acoustic microscope (PAM). A practical algorithm is developed to accurately measure the suture diameter during the degradation process. The results from tissue simulating phantoms and mice are compared to ex vivo measurements with an optical microscope demonstrating that PAM has a great deal of potential to characterize the degradation process of surgical sutures. The implications of this work for industrial applications are discussed. PMID:25136508

Aguirre, Juan; Morales-Dalmau, Jordi; Funk, Lutz; Jara, Francesc; Turon, Pau; Durduran, Turgut

2014-01-01

319

Porcelain enamel neutron absorbing material  

DOEpatents

A porcelain enamel composition as a neutron absorbing material can be prepared of a major proportion by weight of a cadmium compound and a minor proportion of compound of boron, lithium and silicon. These compounds in the form of a porcelain enamel coating or layer on several alloys has been found to be particularly effective in enhancing the nuclear safety of equipment for use in the processing and storage of fissile material. The composition of the porcelain enamel coating can be tailored to match the coefficient of thermal expansion of the equipment to be coated and excellent coating adhesion can be achieved. 2 figs.

Iverson, D.C.

1987-11-20

320

Porcelain enamel neutron absorbing material  

DOEpatents

A porcelain enamel composition as a neutron absorbing material can be prepared of a major proportion by weight of a cadmium compound and a minor proportion of compounds of boron, lithium and silicon. These compounds in the form of a porcelain enamel coating or layer on several alloys has been found to be particularly effective in enhancing the nuclear safety of equipment for use in the processing and storage of fissile material. The composition of the porcelain enamel coating can be tailored to match the coefficient of thermal expansion of the equipment to be coated and excellent coating adhesion can be achieved.

Iverson, Daniel C. (Aiken, SC)

1990-01-01

321

Graphene saturable absorbers for VECSELs  

NASA Astrophysics Data System (ADS)

We report mode-locking of an optically pumped VECSEL using a graphene-based saturable absorber mirror (GSAM). Self-starting and stable modelocked operation is demonstrated with 473 fs pulses at 1.5 GHz repetition rate and 949 nm center wavelength. Wavelength tuning is achieved over a 46 nm bandwidth. We discuss the mirror design, the fabrication of the GSAMs, and give an outlook on further optimization of the design, including dielectric top coatings to protect the graphene and to increase the flexibility in the design.

Wittwer, V. J.; Zaugg, C. A.; Sun, Z.; Popa, D.; Milana, S.; Kulmala, T. S.; Sundaram, R. S.; Mangold, M.; Golling, M.; Lee, Y.; Ahn, J. H.; Keller, U.; Ferrari, A. C.

2014-03-01

322

21 CFR 886.3300 - Absorbable implant (scleral buckling method).  

Code of Federal Regulations, 2010 CFR

...false Absorbable implant (scleral buckling method). 886.3300 Section...3300 Absorbable implant (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a device intended...

2010-04-01

323

Mattress sutures to remove unwanted convexity and concavity of the nasal tip: 12-year follow-up.  

PubMed

Nasal tip bulbosity, or convexity, has been one of the most difficult problems to correct during rhinoplasty. Excision of cartilage from the cephalic part of the lateral crus has helped. However, complete correction of the deformity is not always possible with this maneuver alone. Suture techniques have also helped to improve outcomes. Twelve years ago, the lateral crus mattress suture was introduced as a way of converting the lateral crus to a flat, straight segment with resultant correction of the convexity. Since then, this suture technique has been employed in most primary and some secondary rhinoplasties and has stood the test of time. We report our experience with this technique, including a slight modification to facilitate its application when the cartilage is unusually narrow or when the original technique is difficult to complete. In addition, the suture technique for the less concave lateral crura is redescribed. It, too, has withstood the test of time. LEVEL OF EVIDENCE 4: Therapeutic. PMID:25568231

Gruber, Ronald P; Peled, Anne; Talley, John

2015-01-01

324

The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: preliminary results.  

PubMed

Having found existing techniques for treatment of incisional hernias unsatisfactory, we developed a new laparoscopic approach with a Parietex Composite mesh. This study shows the preliminary results in order to analyze the validity of the concept on efficacy and safety. Three trocars are needed for this procedure. Non-reabsorbable sutures are mandatory for closure of large defects to avoid having to ultimately extrude the mesh. Ten to 12 cardinal stitches are applied on the polyester side of the mesh. The mesh is anchored to the anterior abdominal wall by transabdominal non-reabsorbable sutures without the use of staples or tacks. One hundred twenty patients with ventral and incisional hernias were included in this study. Early and late complications are reported, showing lower rates of morbidity and no mortality. This technique is satisfactory on the technical front, and the results are as good, or better, than in other trials. PMID:12811619

Chelala, E; Gaede, F; Douillez, V; Dessily, M; Alle, J L

2003-12-01

325

MEMORY AND RESPONSE INHIBITION IN YOUNG CHILDREN WITH SINGLE-SUTURE CRANIOSYNOSTOSIS  

PubMed Central

Using two versions of the A-not-B task, memory and response inhibition were assessed in 17- to 24-month-old children with surgically corrected single-suture craniosynostosis (cases) and unaffected children (controls). Children’s development and language were initially assessed on average at 6–7 months of age and again at this second visit. Cases and controls performed at equivalent levels on average, with cases performing slightly better than controls on several of the variables measured. However, fewer cases than controls were able to complete the more challenging of the two tasks, which may have predictive significance for later functioning. Children’s age and cognitive ability were related to successful performance on the A-not-B task. Among cases, age of cranioplastic surgery was unrelated to performance. Our findings suggest that children with single-suture craniosynostosis show normal development of visual memory and response inhibition in the age range studied here. PMID:17899471

Toth, Karen; Collett, Brent; Kapp-Simon, Kathleen A.; Cloonan, Yona Keich; Gaither, Rebecca; Cradock, Mary M.; Buono, Lauren; Cunningham, Michael L.; Dawson, Geraldine; Starr, Jacqueline; Speltz, Matthew L.

2012-01-01

326

Achondroplasia with multiple-suture craniosynostosis: a report of a new case of this rare association.  

PubMed

We report on a female patient with an exceedingly rare combination of achondroplasia and multiple-suture craniosynostosis. Besides the specific features of achondroplasia, synostosis of the metopic, coronal, lambdoid, and squamosal sutures was found. Series of neurosurgical interventions were carried out, principally for acrocephaly and posterior plagiocephaly. The most common achondroplasia mutation, a p.Gly380Arg in the fibroblast growth factor receptor 3 (FGFR3) gene, was detected. Cytogenetic and array CGH analyses, as well as molecular genetic testing of FGFR1, 2, 3 and TWIST1 genes failed to identify any additional genetic alteration. It is suggested that this unusual phenotype is a result of variable expressivity of the common achondroplasia mutation. PMID:23949953

Bessenyei, Beáta; Nagy, Andrea; Balogh, Erzsébet; Novák, László; Bognár, László; Knegt, Alida C; Oláh, Eva

2013-10-01

327

Conchopexy suture to prevent middle turbinate lateralisation and septal haematoma after endoscopic sinus surgery.  

PubMed

Endoscopic ethmoidectomy is now one of the commonest surgical procedures performed by ear, nose and throat surgeons. Access to the ethmoid air cells is via the middle meatus following medialisation of the middle turbinate and uncinectomy. The most satisfactory postoperative results are achieved by maintaining patency of the middle meatus. This allows delivery of topical medication and sinus aeration. Spontaneous lateralisation of the middle turbinate during the healing period, with or without synechiae, can compromise the surgical benefit. This paper describes a conchopexy suture placed at completion of ethmoidectomy. A carefully placed yet simple suture technique will maintain a widely patent middle meatus during the phase of post-operative healing. A slight modification allows quilting of mucoperichondrial flaps after septal surgery. PMID:16008072

Bhalla, R K; Kaushik, V; de Carpentier, J

2005-06-01

328

A survey of outcome of adjustable suture as first operation in patients with strabismus  

PubMed Central

Background: Adjustable suture used for years to improve the outcome of strabismus surgery. We surveyed outcome of our patients with strabismus who underwent adjustable suture. Materials and Methods: This retrospective study was performed at Ophthalmology Centre of Feiz Hospital in Isfahan on 95 participants that candidate for adjustable suture strabismus surgery. Patients were divided into three age groups: Under 10 years, 10-19 years, and 20 years and over. Outcome of adjustable suture surgery consequence of residual postoperative deviation was divided into four groups: Excellent, good, acceptable, and unacceptable. Results: Out of 95 patients studied, 51 (53.7%) were males and 44 (46.3%) were females. The mean of deviation angles were 53.8 ± 17.9 PD (Prism dioptres) in alt XT, 44.5 ± 12 PD in alt ET and 52 ± 13.5 PD in const ET, 47.1 ± 13.1PD in cons XT, respectively. There was no significant difference between the groups (P = 0.051). Results of surgery were in 38 patients (40%) excellent, in 31 patients (32.6%) good, in 19 patients (20%) acceptable, and in 7 patients (7.4%) unacceptable. Seven (7.4%) patients required reoperation. Conclusions: In the present study, the frequency of re-operation was much lower than other similar studies (7.4% vs. 30-50%). This suggests that the adjustable technique that used in our study can be associated with lower reoperation than other adjustable techniques used in the other similar studies. PMID:25250293

Razmjoo, Hasan; Attarzadeh, Hosein; Karbasi, Najmeh; Najarzadegan, Mohammad Reza; Salam, Hasan; Jamshidi, Aliraza

2014-01-01

329

A Simple Surgical Technique for Subpectoral Biceps Tenodesis Using a Double-Loaded Suture Anchor  

PubMed Central

Multiple different surgical techniques have previously been described to address long head of the biceps tendinopathy. Subpectoral biceps tenodesis has proven to be an effective procedure to relieve pain and maintain function. We describe a surgical technique for subpectoral biceps tenodesis using a single double-loaded suture anchor implant. Advantages of this procedure include the ease of implant placement and the freedom this technique affords to perform the anchor placement without direct visualization of the docking site. PMID:23875150

Scully, William F.; Wilson, David J.; Grassbaugh, Jason A.; Branstetter, Joanna G.; Marchant, Bryant G.; Arrington, Edward D.

2013-01-01

330

Intraosseous foreign body granuloma in rotator cuff repair with bioabsorbable suture anchor  

PubMed Central

Biodegradable implants lead to problems such as cyst formation, soft-tissue inflammation, loose implant fragments or local osteolysis. This report represents the first published case of an intraosseous foreign body granuloma in the humeral head after arthroscopic rotator cuff tear fixation with a poly-l-lactide (PLLA) suture anchor. A 48-year-old female patient presented with pain in her right shoulder. A refixation of her right supraspinatus tendon with a biodegradable suture anchor was performed 11 months ago at an external hospital. Laboratory tests showed normal values for C-reactive protein, leukocytes and the erythrocyte sedimentation rate. No signs of infection or instability were noted. The visual analogue scale (VAS) was 8, the simple shoulder test (SST) was 4 and the American shoulder and elbow surgeons score (ASES) was 44. Plain radiographs showed high lucency in the area of the tuberculum majus. MRI showed an intra- and extraosseous mass surrounded by fluid in this area. Surgical care involved arthroscopic debridement and removal of the suture anchor. Histological examination revealed a foreign body granuloma. At the 18-month follow-up the patient was nearly pain-free. The VAS was 2, SST was 10 and ASES was 88. Foreign body granulomas are a well known but rarely described complication that arises after the use of biodegradable suture anchors in shoulder surgery. Every patient presenting with shoulder pain after usage of a biodegradable fixation material should be evaluated closely. Orthopaedic surgeons should be aware of the possibility of delayed foreign body reactions, especially after using PLLA anchors. PMID:20526849

Nusselt, T.; Freche, S.; Klinger, H.-M.

2010-01-01

331

Hernia recurrence through a composite mesh secondary to transfascial suture holes  

Microsoft Academic Search

Laparoscopic ventral hernia repair is an accepted method for incisional hernia repair. Although techniques vary, transfascial\\u000a suturing of the mesh to the abdominal wall has been proposed as a viable way to fixate the mesh and reduce recurrence rates.\\u000a We report a 54-year-old woman who had previously undergone a laparoscopic ventral hernia repair following a laparoscopic tubal\\u000a ligation using a

D. Barzana; K. Johnson; T. V. Clancy; W. W. Hope

332

Is the central Piedmont suture a low-angle normal fault  

SciTech Connect

In the crystalline southern Appalachians, the Carolina arc terrane is in fault contact with the Piedmont terrace along a seismically reflective surface dipping toward the hinterland and called the central Piedmont suture. The central Piedmont suture may be interpreted as a thrust, but existing data also support a Silurian-Devonian, normal-slip origin: (1) There are lower grade rocks in the hanging wall than in the footwall. (2) A normal-fault solution allows simultaneous metamorphism of the Piedmont terrane and Carolina terrane, prior to their juxtaposition along the central Piedmont suture. (3) Mineral ages in the Piedmont terrane are older in the west than in the east, consistent with an eastward-progressive unroofing. (4) Along the western edge of the Carolina terrane, a linear belt of Devonian subalkalic to alkalic granitoids and gabbro-norites with low initial {sup 87}Sr/{sup 86}Sr ratios may represent mantle-derived magmas along the axis of rifting that are contemporary with major crustal extension. The westernmost Piedmont terrane includes the Chauga belt. The Chauga belt comprises metavolcanic and metaplutonic units similar in rock type and age to those of the western Carolina terrane. Chauga belt rocks are interpreted to be the westernmost exposures of the Carolina terrane, translated west on the lower plate by extension. The Piedmont and Carolina terranes may thus compose a single lithotectonic element. The Piedmont terrane would represent the basement on which the arc was constructed; the terrane was uplifted during extension along a major low-angle normal fault, recognized today as the central Piedmont suture.

Dennis, A.J. (Univ. of South Carolina, Aiken (United States))

1991-11-01

333

The geometry of the Iapetus Suture Zone in central Ireland deduced from a magnetotelluric study  

Microsoft Academic Search

The crustal geometry of the Iapetus Suture Zone (ISZ) in central Ireland is inferred from an electrical resistivity model derived from broadband and long period magnetotelluric measurements along a 200-km-long NNW-SSE profile. The model highlights an undulating high conductivity layer of thickness 10 15 km and resistivity 2 5 Omega m, at middle to lower crustal depths interpreted as sulphide-bearing

C. K. Rao; Alan G. Jones; Max Moorkamp

2007-01-01

334

ISLE - Irish Seismological Lithospheric Experiment: A teleseismic study across the Caledonian Suture Zone in Ireland  

Microsoft Academic Search

During the VARNET-96 controlled source experiment in southern Ireland teleseismic P-waves from earthquakes and nuclear tests were also recorded. Significant anomalies of travel-time residuals of the various P-wave phases coincide with the surface trace of the Caledonian Iapetus Suture Zone. There are various possible explanations for these observations. The present project is designed to more clearly define the extent of

V. C. Do; P. W. Readman; B. M. O'Reilly; T. A. Blake; M. Landes; J. R. R. Ritter; F. Hauser

2003-01-01

335

The geometry of the Iapetus Suture Zone in central Ireland deduced from a magnetotelluric study  

Microsoft Academic Search

The crustal geometry of the Iapetus Suture Zone (ISZ) in central Ireland is inferred from an electrical resistivity model derived from broadband and long period magnetotelluric measurements along a 200-km-long NNW-SSE profile. The model highlights an undulating high conductivity layer of thickness 10–15km and resistivity 2–5?m, at middle to lower crustal depths interpreted as sulphide-bearing graphitic sediments deposited between the

C. K. Rao; Alan G. Jones; Max Moorkamp

2007-01-01

336

Perioperative complications associated with intracranial procedures in patients with nonsyndromic single-suture craniosynostosis.  

PubMed

Within the diagnosis "craniosynostosis," there is a subset of patients who present with isolated, nonsyndromic, single-suture involvement. This study evaluates perioperative complications in this specific subset of patients over 4 decades at a single institution. To do so, we performed a retrospective review on consecutive patients undergoing correction of single-suture synostosis from May 1977 to January 2013 at a tertiary pediatric craniofacial center. Demographic information, operative details, and perioperative course were collected. Complications were categorized as either major or minor. A ? test and Fisher exact test were used to compare all categorical variables. Continuous variables were analyzed using Wilcoxon rank-sum and Kruskal-Wallis tests.Seven hundred forty-six patients underwent surgical correction of nonsyndromic craniosynostosis. Of these, there were 307 (41.2%) sagittal, 201 (26.9%) metopic, and 238 (31.9%) unicoronal. Thirty-four patients had complications (4.6%). Eight were considered major (1.1%), including one postoperative mortality in a patient with hypoplastic left-sided heart syndrome. Minor complications occurred in 26 patients (3.5%) and included subgaleal hematoma (n = 3), seroma (n = 4), and superficial wound infection (n = 5). Metopic and sagittal suture involvement was significantly associated with a higher complication rate (P = 0.04). A child with isolated single suture synostosis and any comorbidity had a significantly greater risk of any complication (P < 0.001; odds ratio, 3.8) and specifically an increased risk of major complication (P = 0.031; odds ratio, 6.0). Subclassification of patients by time period yielded no statistically significant changes in perioperative morbidity. To conclude, these data allow us to counsel families more accurately with regard to morbidity and mortality and may potentially serve as a benchmark for future quality improvement work. PMID:25534064

Tahiri, Youssef; Paliga, James Thomas; Wes, Ari M; Whitaker, Linton A; Bartlett, Scott P; Taylor, Jesse A

2015-01-01

337

Stability of one-stage adjustable suture for the correction of horizontal strabismus  

Microsoft Academic Search

One-stage adjustable suture for strabismus correction, with the whole operation done under topical anaesthesia and adjustment done on the table, was performed on 45 consecutive patients. The stability of the post-adjustment result was studied by comparing the post-adjustment deviation on the operating table to that at six weeks and three months after operation. The stability was comparable to that following

P C Chow

1989-01-01

338

Estimation of stature from cranial sutures in a South Indian male population  

Microsoft Academic Search

The aim of this study was to investigate the possibility of estimating height from length of coronal and sagittal sutures\\u000a of the skull for the positive identification of the height in forensic investigations concerned with fragmentary skeletal\\u000a remains. The study was conducted on 87 male bodies subjected to medicolegal autopsy in the Department of Forensic Medicine,\\u000a Kasturba Medical College, Manipal,

P. P. Jagadish Rao; Jagadish Sowmya; K. Yoganarasimha; Ritesh G. Menezes; Tanuj Kanchan; R. Aswinidutt

2009-01-01

339

Dlx5 drives Runx2 expression and osteogenic differentiation in developing cranial suture mesenchyme  

Microsoft Academic Search

Craniofacial bones derive from cephalic neural crest, by endochondral or intramembranous ossification. Here, we address the role of the homeobox transcription factor Dlx5 during the initial steps of calvaria membranous differentiation and we show that Dlx5 elicits Runx2 induction and full osteoblast differentiation in embryonic suture mesenchyme grown “in vitro”. First, we compare Dlx5 expression to bone-related gene expression in

Nicolas Holleville; Stéphanie Matéos; Martine Bontoux; Karine Bollerot

2007-01-01

340

Experimental development of new surgical suturing materials with complex biological activities.  

PubMed

New surgical suturing materials with complex biological activities (antibacterial and stimulating tissue regeneration) have been developed. In vitro studies demonstrated pronounced and prolonged (up to 10-12 days) antibacterial activity. Experiments on 108 male albino rats proved the positive effect of the materials on the wound process: shortening of the inflammation period, more rapid transformation of the granulation tissue, more rapid epithelialization of the wound and its pronounced contraction. PMID:22866324

Mokhov, E M; Homullo, G V; Sergeev, A N; Alexandrov, I V

2012-07-01

341

Canaloplasty using iTrack 250 Microcatheter with Suture Tensioning on Schlemm's Canal.  

PubMed

Open angle glaucoma (OAG) necessitating surgery has traditionally been treated with filtering procedures using antifibrotics. Unfortunately, such filtering procedures are not without the risk of postsurgical complications. Increasing interest in blebless surgery has led to innovative surgical procedures aimed at rejuvenating the natural trabeculo canalicular outflow pathway. Circumferential catheterization with suture tensioning of Schlemm's canal has emerged as a safe and effective way to surgically treat OAG. PMID:20142977

Khaimi, Mahmoud A

2009-07-01

342

Development of a Surgically Optimized Graft Insertion Suture Technique to Accommodate a Tissue-Engineered Tendon In Vivo  

PubMed Central

Abstract The traumatic rupture of tendons is a common clinical problem. Tendon repair is surgically challenging because the tendon often retracts, resulting in a gap between the torn end and its bony insertion. Tendon grafts are currently used to fill this deficit but are associated with potential complications relating to donor site morbidity and graft necrosis. We have developed a highly reproducible, rapid process technique to manufacture compressed cell-seeded type I collagen constructs to replace tendon grafts. However, the material properties of the engineered constructs are currently unsuitable to withstand complete load bearing in vivo. A modified suture technique has been developed to withstand physiological loading and off load the artificial construct while integration occurs. Lapine tendons were used ex vivo to test the strength of different suture techniques with different sizes of Prolene sutures and tissue-engineered collagen constructs in situ. The data were compared to standard modified Kessler suture using a standard tendon graft. Mechanical testing was carried out and a finite element analysis stress distribution model constructed using COMSOL 3.5 software. The break point for modified suture technique with a tissue-engineered scaffold was significantly higher (50.62?N) compared to a standard modified Kessler suture (12.49?N, p<0.05). Distributing suture tension further proximally and distally from the tendon ends increased the mechanical strength of the repairs. We now have ex vivo proof of concept that this suture technique is suitable for testing in vivo, and this will be the next stage of our research. PMID:24083088

Sawadkar, Prasad; Alexander, Susan; Tolk, Marten; Wong, Jason; McGrouther, Duncan; Bozec, Laurent

2013-01-01

343

Development of a surgically optimized graft insertion suture technique to accommodate a tissue-engineered tendon in vivo.  

PubMed

The traumatic rupture of tendons is a common clinical problem. Tendon repair is surgically challenging because the tendon often retracts, resulting in a gap between the torn end and its bony insertion. Tendon grafts are currently used to fill this deficit but are associated with potential complications relating to donor site morbidity and graft necrosis. We have developed a highly reproducible, rapid process technique to manufacture compressed cell-seeded type I collagen constructs to replace tendon grafts. However, the material properties of the engineered constructs are currently unsuitable to withstand complete load bearing in vivo. A modified suture technique has been developed to withstand physiological loading and off load the artificial construct while integration occurs. Lapine tendons were used ex vivo to test the strength of different suture techniques with different sizes of Prolene sutures and tissue-engineered collagen constructs in situ. The data were compared to standard modified Kessler suture using a standard tendon graft. Mechanical testing was carried out and a finite element analysis stress distribution model constructed using COMSOL 3.5 software. The break point for modified suture technique with a tissue-engineered scaffold was significantly higher (50.62?N) compared to a standard modified Kessler suture (12.49?N, p<0.05). Distributing suture tension further proximally and distally from the tendon ends increased the mechanical strength of the repairs. We now have ex vivo proof of concept that this suture technique is suitable for testing in vivo, and this will be the next stage of our research. PMID:24083088

Sawadkar, Prasad; Alexander, Susan; Tolk, Marten; Wong, Jason; McGrouther, Duncan; Bozec, Laurent; Mudera, Vivek

2013-10-01

344

Animal model to compare the effects of suture technique on cross-sectional compliance on end-to-side anastomoses  

Microsoft Academic Search

Objective: An animal model has been developed to compare the effects of suture technique on the luminal dimensions and compliance of end-to-side vascular anastomoses. Methods: Carotid and internal mammalian arteries (IMAs) were exposed in three pigs (90 kg). IMAs were sectioned distally to perform end-to-side anastomoses on carotid arteries. One anastomosis was performed with 7\\/0 polypropylene running suture. The other

P. Tozzi; D. Hayoz; P. Ruchat; A. Corno; C. Oedman; U. Botta; L. K. von Segesser

2001-01-01

345

In Vitro Attachment of Staphylococcus Epidermidis to Surgical Sutures with and without Ag-Containing Bioactive Glass Coating  

Microsoft Academic Search

The ability of a silver-doped bioactive glass (AgBG) coating to prevent bacterial colonization on surgical sutures was investigated in vitro. Bioactive glass powders, in the form of 45S5 Bioglass® and AgBG, were used to coat Mersilk® sutures using an optimized ‘in house’ slurry-dipping process. In vitro experiments were carried out using Staphylococcus epidermidis under both batch and flow conditions. While

Jonathan Pratten; Showan N. Nazhat; Jonny J. Blaker; Aldo R. Boccaccini

2004-01-01

346

Numerical simulations of quasar absorbers  

E-print Network

The physical state of the intergalactic medium can be probed in great detail with the intervening absorption systems seen in quasar spectra. The properties of the Hydrogen absorbers depend on many cosmological parameters, such as the matter-power spectrum, reionisation history, ionising background and the nature of the dark matter. The spectra also contain metal lines, which can be used to constrain the star formation history and the feedback processes acting in large and small galaxies. Simulations have been instrumental in investigating to what extent these parameters can be unambiguously constrained with current and future data. This paper is meant as an introduction to this subject, and reviews techniques and methods for simulating the intergalactic medium.

Tom Theuns

2005-07-25

347

Bioabsorbable Suture Anchor Migration to the Acromioclavicular Joint: How Far Can These Implants Go?  

PubMed Central

Few complications regarding the use of bioabsorbable suture anchors in the shoulder have been reported. What motivated this case report was the unusual location of the anchor, found in the acromioclavicular joint which, to our knowledge, has never been reported so far. A 53-year old male with previous rotator cuff (RC) repair using bioabsorbable suture anchors presented with pain and weakness after 2 years of surgery. A suspicion of retear of the RC led to request of a magnetic resonance image, in which the implant was found located in the acromioclavicular joint. The complications reported with the use of metallic implants around the shoulder led to the development of bioabsorbable anchors. Advantages are their absorption over time, minimizing the risk of migration or interference with revision surgery, less artifacts with magnetic resonance imaging, and tendon-to-bone repair strength similar to metallic anchors. Since the use of bioabsorbable suture anchors is increasing, it is important to know the possible complications associated with these devices. PMID:25114822

Garofo, Guilherme; D'Elia, Caio O.; Bitar, Alexandre C.

2014-01-01

348

The western Idaho suture zones meets the central Montana trough: A soft indentee model  

SciTech Connect

The western Idaho suture zone is defined by a thin (5--25 km) belt of mylonitic granitoid rocks formed during large-scale, Cretaceous, dextral strike-slip activity. It marks an initial subvertical boundary between accreted oceanic terranes and cratonic North America. Deformation style along the suture zone changes abruptly from transpressions on the southern segment, to west-vergent thrusting on the northern segment, the change occurring near Slate Ck. The northern segment appears to be a structural and metamorphic culmination-the Clearwater culmination-that acts as the mylonitic root-zone of the Rapid River thrust, which splays off to the SW. The northern and southern extents of the Clearwater culmination coincide with the north and south boundaries of the Central Montana Trough (CMT), an east-west trough containing thick packages of Proterozoic through Mesozoic strata. The CMT has been interpreted as an aulacogen, and as such must have extended to the western edge of N. America after Proterozoic rifting. The change in structural style from pure-shear dominated dextral transpression south of Slate Ck. to west-directed thrusting north of Slate Ck. is likely due to the strong rheologic contrast caused by the intersection of the western Idaho suture zone and the CMT. The CMT acts as a soft-indented', focusing the collisional deformation of the Seven Devils/Wallowa terrain eastward into the unusually thick Proterozoic through Mesozoic rocks of the CMT.

Strayer, L.M. (Univ. of Minnesota, Minneapolis, MN (United States). Dept. of Geology and Geophysics)

1993-04-01

349

Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement  

PubMed Central

Background. Dislocation of epidural catheters (EC) is associated with early termination of regional analgesia and rare complications like epidural bleeding. We tested the hypothesis that maximum effort in fixation by tunneling and suture decreases the incidence of catheter dislocation. Methods. Patients scheduled for major surgery (n = 121) were prospectively randomized in 2 groups. Thoracic EC were subcutaneously tunneled and sutured (tunneled) or fixed with adhesive tape (taped). The difference of EC length at skin surface level immediately after insertion and before removal was determined and the absolute values were averaged. Postoperative pain was evaluated by numeric rating scale twice daily and EC tips were screened microbiologically after removal. Results. Both groups did not differ with respect to treatment duration (tunneled: 109 hours ±46, taped: 97 ± 37) and postoperative pain scores. Tunneling significantly reduced average extent (tunneled: 3?mm ±7, taped: 10 ± 18) and incidence of clinically relevant EC dislocation (>20?mm, tunneled: 1/60, taped: 9/61). Bacterial contamination showed a tendency to be lower in patients with tunneled catheters (8/59, taped: 14/54, P = 0.08). Conclusion. Thorough fixation of EC by tunneling and suturing decreases the incidence and extent of dislocation and potentially even that of bacterial contamination. PMID:25140337

Schmitz, Andrea; Weiss, Martin; Rabenalt, Stefanie; MacKenzie, Colin

2014-01-01

350

Oesophageal flap valvuloplasty and wrapping suturing prevent gastrooesophageal reflux disease in dogs after oesophageal anastomosis  

PubMed Central

AIM: To examine the efficiency of oesophageal flap valvuloplasty and wrapping suturing technique in decreasing the rate of postoperative gastrooesophageal reflux disease in a dog model. METHODS: We operated on 10 dogs in this study. First, we resected a 5-cm portion of the distal oesophagus and then restored the continuity of the oesophageal and gastric walls by end-to-end anastomosis. A group of five dogs was subjected to the oesophageal flap valvuloplasty and wrapping suturing technique, whereas another group (control) of five dogs was subjected to the stapling technique after oesophagectomy. The symptom of gastrooesophageal reflux was recorded by 24-h pH oesophageal monitoring. Endoscopy and barium swallow examination were performed on all dogs. Anastomotic leakage was observed by X-ray imaging, whereas benign anastomotic stricture and mucosal damage were observed by endoscopy. RESULTS: None of the 10 dogs experienced anastomotic leakage after oesophagectomy. Four dogs in the new technology group resumed regular feeding, whereas only two of the dogs in the control group tolerated solid food intake. pH monitoring demonstrated that 25% of the dogs in the experimental group exhibited reflux and that none had mucosal damage consistent with reflux. Conversely, both reflux and mucosal damage were observed in all dogs in the control group. CONCLUSION: The oesophageal flap valvuloplasty and wrapping suturing technique can improve the postoperative quality of life through the long-term elimination of reflux oesophagitis and decreased stricture formation after primary oesophageal anastomosis. PMID:25516655

Dai, Ji-Gang; Liu, Quan-Xing; Den, Xu-Feng; Min, Jia-Xin

2014-01-01

351

Neurodevelopment of Infants with Single-Suture Craniosynostosis: Presurgery Comparisons with Case-Matched Controls  

PubMed Central

Background The hypothesized association between single-suture craniosynostosis and neurodevelopment remains unclear, given the methodologic limitations of previous studies, most notably the absence of control groups. Methods Standardized measures were used to assess the neurodevelopment of 125 matched case-control pairs shortly after cases were first diagnosed with isolated fusions of the sagittal, metopic, lambdoid, or right or left coronal sutures. Participants varied in age from 2 to 24 months. Results Cases had significantly lower mean standardized scores than controls on measures of cognitive ability and motor functioning (p < 0.02). These differences were unaffected by the location of synostosis, age of diagnosis, infant sex, and maternal IQ. Measures of early language functions revealed no group differences. Conclusions Before cranioplasty, single-suture craniosynostosis is associated with modest but reliable neurodevelopmental delays that cannot be attributed to maternal intelligence and family sociodemographic variables. Follow-up of this sample will determine the predictive significance of these delays. In the meantime, routine neurodevelopmental screening of infants with isolated craniosynostosis is recommended. PMID:17440368

Speltz, Matthew L.; Kapp-Simon, Kathy; Collett, Brent; Keich, Yona; Gaither, Rebecca; Cradock, Mary M.; Buono, Lauren; Cunningham, Michael L.

2012-01-01

352

Smart tissue anastomosis robot (STAR): a vision-guided robotics system for laparoscopic suturing.  

PubMed

This paper introduces the smart tissue anastomosis robot (STAR). Currently, the STAR is a proof-of-concept for a vision-guided robotic system featuring an actuated laparoscopic suturing tool capable of executing running sutures from image-based commands. The STAR tool is designed around a commercially available laparoscopic suturing tool that is attached to a custom-made motor stage and the STAR supervisory control architecture that enables a surgeon to select and track incisions and the placement of stitches. The STAR supervisory-control interface provides two modes: A manual mode that enables a surgeon to specify the placement of each stitch and an automatic mode that automatically computes equally-spaced stitches based on an incision contour. Our experiments on planar phantoms demonstrate that the STAR in either mode is more accurate, up to four times more consistent and five times faster than surgeons using state-of-the-art robotic surgical system, four times faster than surgeons using manual Endo360(°)®, and nine times faster than surgeons using manual laparoscopic tools. PMID:24658254

Leonard, Simon; Wu, Kyle L; Kim, Yonjae; Krieger, Axel; Kim, Peter C W

2014-04-01

353

Bioabsorbable suture anchor migration to the acromioclavicular joint: how far can these implants go?  

PubMed

Few complications regarding the use of bioabsorbable suture anchors in the shoulder have been reported. What motivated this case report was the unusual location of the anchor, found in the acromioclavicular joint which, to our knowledge, has never been reported so far. A 53-year old male with previous rotator cuff (RC) repair using bioabsorbable suture anchors presented with pain and weakness after 2 years of surgery. A suspicion of retear of the RC led to request of a magnetic resonance image, in which the implant was found located in the acromioclavicular joint. The complications reported with the use of metallic implants around the shoulder led to the development of bioabsorbable anchors. Advantages are their absorption over time, minimizing the risk of migration or interference with revision surgery, less artifacts with magnetic resonance imaging, and tendon-to-bone repair strength similar to metallic anchors. Since the use of bioabsorbable suture anchors is increasing, it is important to know the possible complications associated with these devices. PMID:25114822

Medina, Giovanna; Garofo, Guilherme; D'Elia, Caio O; Bitar, Alexandre C; Castropil, Wagner; Schor, Breno

2014-01-01

354

Test of the relationship between sutural ossicles and cultural cranial deformation: results from Hawikuh, New Mexico.  

PubMed

A number of researchers have hypothesized that the biomechanical forces associated with cultural cranial deformation can influence the formation of sutural ossicles. However, it is still difficult to make definitive conclusions about this relationship because the effects appear to be quite weak, and contradictory results have been obtained when specific sutures and deformation types are compared across studies. This research retests the hypothesis using a single archeological sample of lamdoidally deformed, occipitally deformed, and undeformed crania from Hawikuh, New Mexico (AD 1300-1680). Our results show no significant difference in either the prevalence or number of ossicles between deformed and undeformed crania, suggesting that the abnormal strains generated by cranial shape modification during infancy are not a factor in ossicle development for this population. One significant relationship was detected at the right lambdoid suture in crania with asymmetrical occipital deformation. Crania that were more deformed on the left side showed greater numbers of ossicles on the right side, but the effect was small. Furthermore, the relationship may well reflect a sampling error, due to the small number of crania with greater left side deformation and scorable right side lambdoid ossicles (n = 11). Although it is possible that forms of cranial deformation other than the posterior tabular types examined here may affect ossicle expression, our review of the literature suggests that the relationship in humans is complex and incompletely understood at this time. PMID:19280670

Wilczak, Cynthia A; Ousley, Stephen D

2009-08-01

355

The structure and effect of suture zones in the Larsen C Ice Shelf, Antarctica  

NASA Astrophysics Data System (ADS)

shelf fractures frequently terminate where they encounter suture zones, regions of material heterogeneity that form between meteoric inflows in ice shelves. This heterogeneity can consist of marine ice, meteoric ice with modified rheological properties, or the presence of fractures. Here, we use radar observations on the Larsen C Ice Shelf, Antarctica, to investigate (i) the termination of a 25 km long rift in the Churchill Peninsula suture zone, which was found to contain ~60 m of accreted marine ice, and (ii) the along-flow evolution of a suture zone originating at Cole Peninsula. We determine a steady state field of basal melting/freezing rates and apply it to a flowline model to delineate the along-flow evolution of layers within the ice shelf. The thickening surface wedge of locally accumulated meteoric ice, which likely has limited lateral variation in its mechanical properties, accounts for ~60% of the total ice thickness near the calving front. Thus, we infer that the lower ~40% of the ice column and the material heterogeneities present there are responsible for resisting fracture propagation and thereby delaying tabular calving events, as demonstrated in the >40 year time series leading up to the 2004/2005 calving event for Larsen C. This likely represents a highly sensitive aspect of ice shelf stability, as changes in the oceanic forcing may lead to the loss of this heterogeneity.

McGrath, Daniel; Steffen, Konrad; Holland, Paul R.; Scambos, Ted; Rajaram, Harihar; Abdalati, Waleed; Rignot, Eric

2014-03-01

356

One strategy for arthroscopic suture fixation of tibial intercondylar eminence fractures using the Meniscal Viper Repair System  

PubMed Central

Background Principles for the treatment of tibial intercondylar eminence fracture are early reduction and stable fixation. Numerous ways to treatment of this fracture have been invented. We designed a simple, low-invasive, and arthroscopic surgical strategy for tibial intercondylar eminence fracture utilizing the Meniscal Viper Repair System used for arthroscopic meniscal suture. Methods We studied 5 patients, who underwent arthroscopic suture fixation that we modified. The present technique utilized the Meniscal Viper Repair System for arthroscopic suture of the meniscus. With one handling, a high-strength ultra-high molecular weight polyethylene(UHMWPE) suture can be passed through the anterior cruciate ligament (ACL) and the loops for suture retrieval placed at both sides of ACL. Surgical results were evaluated by the presence or absence of bone union on plain radiographs, postoperative range of motion of the knee joint, the side-to-side differences measured by Telos SE, and Lysholm scores. Results The reduced position achieved after surgery was maintained and good function was obtained in all cases. The mean distance of tibia anterior displacement and assessment by Lysholm score showed good surgical results. Conclusion This method simplified the conventional arthroscopic suture fixation and increased its precision, and was applicable to Type II fractures that could be reduced, as well as surgically indicated Types III and IV. The present series suggested that our surgical approach was a useful surgical intervention for tibial intercondylar eminence fracture. PMID:21831294

2011-01-01

357

Magnetic field effects on microwave absorbing materials  

NASA Technical Reports Server (NTRS)

The objective of this program was to gather information to formulate a microwave absorber that can work in the presence of strong constant direct current (DC) magnetic fields. The program was conducted in four steps. The first step was to investigate the electrical and magnetic properties of magnetic and ferrite microwave absorbers in the presence of strong magnetic fields. This included both experimental measurements and a literature survey of properties that may be applicable to finding an appropriate absorbing material. The second step was to identify those material properties that will produce desirable absorptive properties in the presence of intense magnetic fields and determine the range of magnetic field in which the absorbers remain effective. The third step was to establish ferrite absorber designs that will produce low reflection and adequate absorption in the presence of intense inhomogeneous static magnetic fields. The fourth and final step was to prepare and test samples of such magnetic microwave absorbers if such designs seem practical.

Goldberg, Ira; Hollingsworth, Charles S.; Mckinney, Ted M.

1991-01-01

358

An omnidirectional electromagnetic absorber made of metamaterials  

NASA Astrophysics Data System (ADS)

In a recent theoretical work by Narimanov and Kildishev (2009 Appl. Phys. Lett. 95 041106) an optical omnidirectional light absorber based on metamaterials was proposed, in which theoretical analysis and numerical simulations showed that all optical waves hitting the absorber are trapped and absorbed. Here we report the first experimental demonstration of an omnidirectional electromagnetic absorber in the microwave frequency. The proposed device is composed of non-resonant and resonant metamaterial structures, which can trap and absorb electromagnetic waves coming from all directions spirally inwards without any reflections due to the local control of electromagnetic fields. It is shown that the absorption rate can reach 99 per cent in the microwave frequency. The all-directional full absorption property makes the device behave like an 'electromagnetic black body', and the wave trapping and absorbing properties simulate, to some extent, an 'electromagnetic black hole.' We expect that such a device could be used as a thermal emitting source and to harvest electromagnetic waves.

Cheng, Qiang; Cui, Tie Jun; Jiang, Wei Xiang; Cai, Ben Geng

2010-06-01

359

A comparison of single-suture and double-suture incision closures in seaward-migrating juvenile Chinook salmon implanted with acoustic transmitters: implications for research in river basins containing hydropower structures  

SciTech Connect

Reductions in the size of acoustic transmitters implanted in migrating juvenile salmonids have resulted in the ability to make shorter incisions that may warrant using only a single suture for closure. However, it is not known if one suture will sufficiently hold the incision closed, particularly when outward pressure is placed on the surgical site such as when migrating fish experience pressure changes associated with passage at hydroelectric dams. The objective of this research was to evaluate the effectiveness of single-suture incision closures on juvenile Chinook salmon (Oncorhynchus tshawytscha). Juvenile Chinook salmon were surgically implanted with a 2012 Juvenile Salmon Acoustic Telemetry System (JSATS) transmitter (0.30 g) and a passive integrated transponder tag (0.10 g) and incisions were closed with either one suture or two sutures. Mortality and tag retention were monitored and fish were examined after 7 and 14 days to evaluate tissue responses. In a separate experiment, surgically implanted fish were exposed to simulated turbine passage and then examined for expulsion of transmitters, expulsion of viscera through the incision, and mortal injury. With incisions closed using a single suture, there was no mortality or tag loss and similar or reduced tissue reaction compared to incisions closed with two sutures. Further, surgery time was significantly reduced when one suture was used, which leads to less handling and reduced stress. No tags were expelled during pressure scenarios and expulsion of viscera only occurred in two non-mortally injured fish (5%) with single sutures that were also exposed to very high pressure changes. No viscera expulsion was present in fish exposed to pressure scenarios likely representative of hydroturbine passage at many Columbia River dams (e.g. <2.7 ratio of pressure change; an acclimation pressure of 146.2 absolute kpa and a lowest exposure pressure of ~ 53.3 absolute kpa). Based on these results, we recommend the use of a single suture for surgical implantation of transmitters with incisions that are approximately 5 1/2 mm long after tag insertion.

Brown, Richard S.; Deters, Katherine A.; Cook, Katrina V.; Eppard, M. B.

2013-07-15

360

Mesozoic and Cenozoic tectonics of the eastern and central Alaska Range: Progressive basin development and deformation in a suture zone  

USGS Publications Warehouse

Analysis of late Mesozoic and Cenozoic sedimentary basins, metamorphic rocks, and major faults in the eastern and central Alaska Range documents the progressive development of a suture zone that formed as a result of collision of an island-arc assemblage (the Wrangellia composite terrane) with the former North American continental margin. New basin-analysis, structural, and geochronologic data indicate the following stages in the development of the suture zone: (1) Deposition of 3-5 km of Upper Jurassic-Upper Cretaceous marine strata (the Kahiltna assemblage) recorded the initial collision of the island-arc assemblage with the continental margin. The Kahiltna assemblage exposed in the northern Talkeetna Mountains represents a Kimmeridgian-Valanginian backarc basin that was filled by northwestward-flowing submarine-fan systems that were transporting sediment derived from Mesozoic strata of the island-arc assemblage. The Kahiltna assemblage exposed in the southern Alaska Range represents a Valanginian-Cenomanian remnant ocean basin filled by west-southwestward-flowing submarine-fan systems that were transporting sediment derived from Paleozoic continental-margin strata uplifted in the along-strike suture zone. A belt of retrograde metamorphism and a regional anticlinorium developed along the continental margin from 115 to 106 Ma, roughly coeval with the end of widespread deposition in the Kahiltna sedimentary basins. (2) Metamorphism of submarine-fan deposits of the Kahiltna basin, located near the leading edge of the island-arc assemblage, occurred at ca. 74 Ma, as determined from a new U-Pb zircon age for a synkinematic sill. Coeval with metamorphism of deposits of the Kahiltna basin in the southern part of the suture zone was development of a thrust-top basin, the Cantwell basin, in the northern part of the suture zone. Geologic mapping and compositional data suggest that the 4 km of Upper Cretaceous nonmarine and marginal marine sedimentary strata in this basin record regional subaerial uplift of the suture zone. (3) Shortening and exhumation of the suture zone peaked from 65 to 60 Ma on the basis of metamorphic and geochronologic data. In the southern part of the suture zone, submarine-fan deposits of the Kahiltna basin, which had been metamorphosed to kyanite schists at ???25 km depth and ???650 ??C, were exhumed and cooled through the biotite closure temperature (???300 ??C) by ca. 62 Ma. In the northern part of the suture zone, this time period was marked by shortening, uplift, and erosion of sedimentary strata of the Cantwell basin. (4) From 60 to 54 Ma, ???3 km of volcanic strata were deposited over deformed sedimentary strata of the Cantwell basin, and several granitic plutons (the McKinley sequence) were emplaced along the suture zone. (5) Following igneous activity, strikeslip displacement occurred from ca. 54 to 24 Ma along the Denali fault system, which had developed in the existing suture zone. Late Eocene-Oligocene strike-slip displacement resulted in the formation of several small sedimentary basins along the Denali fault system. (6) Regional transpressive shortening characterized the suture zone from ca. 24 Ma to the present. Flexural subsidence, related to regional shortening, is represented by late Eocene to Holocene nonmarine deposits of the Tanana foreland basin. Regional subsidence resulted in Miocene coal seams up to 20 m thick and well-developed lacustrine deposits. Overlying the Miocene deposits are ???1.2 km of Pliocene and Holocene conglomeratic deposits. Compositional and paleocurrent data from these younger deposits record regional Neogene uplift of the suture zone and recycling of detritus from older basins to the south that had become incorporated into the uplifted suture zone. Geologic mapping of major thrust faults along the northern and southern margins of the suture zone documents Paleozoic strata thrust over both Pliocene fluvial deposits and Quaternary glacial deposits of the Tanana basin.

Ridgway, K.D.; Trop, J.M.; Nokleberg, W.J.; Davidson, C.M.; Eastham, K.R.

2002-01-01

361

Photoacoustic cavitation in spherical and cylindrical absorbers  

Microsoft Academic Search

.   Photomechanical damage in absorbing regions or particles surrounded by a non-absorbing medium is investigated experimentally\\u000a and theoretically. The damage mechanism is based on the generation of thermoelastic pressure by absorption of pulsed laser\\u000a radiation under conditions of stress confinement. Principles of photoacoustic sound generation predict that the acoustic wave\\u000a generated in a finite-size absorbing region must contain both compressive

G. Paltauf; H. Schmidt-Kloiber

1999-01-01

362

Fluids in high- to ultrahigh-temperature metamorphism along collisional sutures: Record from fluid inclusions  

NASA Astrophysics Data System (ADS)

Petrographic studies and microthermometric investigations on fluid inclusions associated with high- to ultrahigh-temperature metamorphic rocks in three major Precambrian suture zones on the globe demonstrate the dominant occurrence of CO 2-rich fluids. These rocks form part of hot orogens developed along collisional plate boundaries. The sapphirine-quartz-bearing Mg-Al-rich rock from the Palghat-Cauvery Suture Zone, a trace of the Cambrian Gondwana suture zone in southern India, preserves evidence for a prograde high-pressure event and subsequent peak ultrahigh-temperature metamorphism along a clockwise path, and contains abundant CO 2-rich inclusions in corundum, garnet, and sapphirine. Most of the fluid inclusions are either primary or secondary and preserve low-density CO 2-rich fluids (0.569-0.807 g/cm 3). Similar low-density CO 2-rich fluid inclusions (0.853-0.953 g/cm 3) are also present in pelitic granulites from the Limpopo Complex of southern Africa, a Neoarchean granulite-facies orogen formed by continent-continent collision. In contrast, the garnet-orthopyroxene granulite from Tonagh Island in the Neoarchean Napier Complex in East Antarctica contains very high-density primary (1.095-1.129 g/cm 3) and secondary (0.960-1.179 g/cm 3) carbonic inclusions in garnet and quartz. The calculated isochores for the fluid inclusions from the Palghat-Cauvery Suture Zone and the Limpopo Complex yield significantly lower-pressure estimates than those predicted from peak metamorphic conditions. We interpret this as a result of significant density decrease due to rapid decompression along a clockwise P- T trajectory. In contrast, the estimated isochores for primary inclusions in garnet-orthopyroxene granulites from the Napier Complex are consistent with the peak P- T conditions estimated from mineral phase equilibria for the Tonagh Island rocks, suggesting that most of the fluid inclusions in these rocks did not undergo any marked effect of volume change and density decrease. The contrasting fluid densities among the localities investigated in this study are probably related to the nature of the P- T trajectory; the Tonagh Island rocks had a near-isochoric exhumation history whereas the metamorphic orogens in the other two sutures witnessed rapid decompression. Our results suggest that whereas the composition of the syn-metamorphic fluids are preserved in all cases, density reversal occurs within inclusions as a function of the tectonic history and exhumation style.

Tsunogae, Toshiaki; Santosh, M.

2011-08-01

363

Absorbent product and articles made therefrom  

NASA Technical Reports Server (NTRS)

A multilayer absorbent product for use in contact with the skin to absorb fluids is described. The product has a water pervious facing layer for contacting the skin, and a first fibrous wicking layer overlaying the water pervious layer. A first container section is defined by inner and outer layers of a water pervious wicking material in between a first absorbent mass and a second container section defined by inner and outer layers of a water pervious wicking material between what is disposed a second absorbent mass, and a liquid impermeable/gas permeable layer overlaying the second fibrous wicking layer.

Dawn, F. S.; Correale, J. V. (inventors)

1982-01-01

364

Advanced Reflector and Absorber Materials (Fact Sheet)  

SciTech Connect

Fact sheet describing NREL CSP Program capabilities in the area of advanced reflector and absorber materials: evaluating performance, determining degradation rates and lifetime, and developing new coatings.

Not Available

2010-08-01

365

Modal structure of centrifugal pendulum vibration absorber systems with multiple cyclically symmetric groups of absorbers  

NASA Astrophysics Data System (ADS)

This work studies the symmetry breaking effects on the vibration mode structure of centrifugal pendulum vibration absorber (CPVA) systems when multiple groups of absorbers are used. An absorber group is a set of equally spaced, identical absorbers. Absorbers within a group are cyclically symmetric while the entire system is asymmetric because the groups have no pre-defined relative angular spacing. One rotational and two translational degrees of freedom for the rotor and a single arclength degree of freedom for each absorber are considered in the planar model. The well-defined structure of the vibration modes is obtained by analytical and numerical investigations of the associated eigenvalue problem. This vibration mode structure is similar to that for CPVA systems with equally spaced, identical absorbers. Thus, the disrupted symmetry from multiple absorber groups does not destroy the vibration mode structure resulting from the cyclic symmetry within each group. The critical speeds and flutter instability of the system are investigated.

Shi, Chengzhi; Parker, Robert G.

2013-09-01

366

Device for absorbing mechanical shock  

DOEpatents

This invention is a comparatively inexpensive but efficient shock-absorbing device having special application to the protection of shipping and storage cylinders. In a typical application, two of the devices are strapped to a cylinder to serve as saddle-type supports for the cylinder during storage and to protect the cylinder in the event it is dropped during lifting or lowering operations. In its preferred form, the invention includes a hardwood plank whose grain runs in the longitudinal direction. The basal portion of the plank is of solid cross-section, whereas the upper face of the plank is cut away to form a concave surface fittable against the sidewall of a storage cylinder. The concave surface is divided into a series of segments by transversely extending, throughgoing relief slots. A layer of elastomeric material is positioned on the concave face, the elastomer being extrudable into slots when pressed against the segments by a preselected pressure characteristic of a high-energy impact. The compressive, tensile, and shear properties of the hardwood and the elastomer are utilized in combination to provide a surprisingly high energy-absorption capability.

Newlon, Charles E. (Knoxville, TN)

1980-01-01

367

Mechanical modelling of monofilament technical textiles  

Microsoft Academic Search

The mechanical behaviour of textiles is often of great importance in several industrial applications. This is the case for textile reinforcement used in composites or for technical textiles. In composites manufacturing and in particular in the processes of forming and consolidation of composites, properties as in-plane shear and tensile behaviour are, together with the transversal compaction of the yarns, the

Valter Carvelli; Carola Corazza; Carlo Poggi

2008-01-01

368

Role of suture diameter and vessel insertion position in the establishment of the middle cerebral artery occlusion rat model  

PubMed Central

The aim of the present study was to explore the role of suture diameter and vessel insertion position in the preparation of the middle cerebral artery occlusion (MCAO) rat model. A total of 84 Sprague-Dawley rats (weighing 250–300 g) were randomly divided to three groups: group A (type 1.0, suture diameter 0.16–0.17 mm and tip 0.21–0.22 mm); group B (type 2.0; suture diameter, 0.22–0.23 mm; tip, 0.27–0.28 mm); and group C (type 3.0; suture diameter, 0.28–0.29 mm; and tip, 0.33–0.34 mm). The animals in each group were then subdivided into two subgroups, one of which received a nylon line inserted through the external carotid artery (ECA insertion), while the other received the nylon line through the common carotid artery (CCA insertion) subsequent to a middle or lateral neck incision. The neurological deficit score was evaluated at 4, 8, 24, 48 and 72 h post-surgery. The ischemic brain tissue was stained by 2,3,5-triphenyltetrazolium chloride (TTC) to evaluate the extent of the infarct volume. The cerebral edema rate, cerebral infarction volume rate, relative standard deviation (RSD) of the cerebral infarction rate and the success rate were also assessed. The rectal temperature, PaO2, PaCO2, pH, blood pressure and blood glucose levels were controlled and did not vary between the group types. The results suggested that suture diameter and insertion route affected the infarct volume and success rate in the establishment of the suture MCAO rat model. Furthermore, the MCAO model with a 0.22–0.23 mm diameter suture and CCA insertion route provided the highest success rate in the SD rats. PMID:23837039

TANG, QIQIANG; HAN, RUODONG; XIAO, HAN; SHI, LILI; SHEN, JILONG; LUN, QINGLI; LI, JUN

2013-01-01

369

Torsional vibration reduction using passive nonlinear absorbers  

Microsoft Academic Search

This paper considers the dynamic performance of systems of centrifugal pendulum vibration absorbers that are used to attenuate torsional vibrations in rotating systems. These absorbers, which can be found in certain IC engines and helicopter rotors, consist of movable masses whose centers of mass are kinematically restricted to move along prescribed paths relative to the rotor of interest. The most

Steven W. Shaw; Abdallah Alsuwaiyan

2000-01-01

370

The design of broadband radar absorbing surfaces  

Microsoft Academic Search

There has been a growing and widespread interest in radar absorbing material technology. As the name implies, radar absorbing materials or RAM's are coatings whose electric and magnetic properties have been selected to allow the absorption of microwave energy at discrete or broadband frequencies. In military applications low radar cross section (RCS) of a vehicle may be required in order

Go H. Suk

1990-01-01

371

Application of magnetorheological elastomer to vibration absorber  

Microsoft Academic Search

Traditional dynamic vibration absorber (DVA) is widely used in industries as a vibration absorption equipment. However, it is only effective at narrow working frequency range. This shortcoming has limited its stability and application. This paper develops an adaptive tuned vibration absorber (ATVA) based on unique characteristics of magnetorheological elastomers (MREs), whose modulus can be controlled by an applied magnetic field.

Hua-Xia Deng; Xing-Long Gong

2008-01-01

372

Highly efficient special sound absorbing solutions  

NASA Technical Reports Server (NTRS)

Highly efficient special sound absorbing structures with the following criteria are considered: (1) A distribution surface of the sound absorbing material greater than that of the building element on which the structure is placed; (2) The highest possible absorption coefficient in the widest possible frequency band; and (3) adaptability to different construction and aesthetic conditions.

Ionescu, M.; Petre-Lazar, S.

1974-01-01

373

Solar sustained plasma/absorber conceptual design  

NASA Technical Reports Server (NTRS)

A space power system concept was evaluated which uses concentrated solar energy to heat a working fluid to temperatures as high as 4000 K. The high temperature working fluid could be used for efficient electric power production in advanced thermal or magnetohydrodynamic conversion cycles. Energy absorber configurations utilizing particles or cesium vapor absorber material were investigaed. Results of detailed radiant heat transfer calculations indicated approximately 86 percent of the incident solar energy could be absorbed within a 12-cm-dia flowing stream of gas borne carbon particles. Calculated total energy absorption in the cesium vapor seeded absorber configuration ranged from 34 percent to 64 percent of the incident solar energy. Solar flux concentration ratios of between approximately 3000 and 10,000 will be required to sustain absorber temperatures in the range from 3000 K to 4000 K.

Rodgers, R. J.; Krascella, N. L.; Kendall, J. S.

1979-01-01

374

Sulcus vocalis: excision, primary suture and medialization laryngoplasty: personal experience with 44 cases.  

PubMed

This is a prospective, cohort study to present personal experience on excision of sulcus, primary suture of defect and medialization laryngoplasty. An article about this subject is not present in medical literature. Forty-four patients with sulcus vocalis who were operated on by excision, primary suture of epithelial defect and medialization laryngoplasty were included. Pre- and postoperative evaluations included GRBAS, VHI-30, stroboscopy, aerodynamic and acoustic analysis. Grade, roughness and breathiness of GRBAS were significantly better postoperatively (p < 0.05), whereas asthenia and strain were not (p > 0.05). All VHI-30 results decreased significantly after surgery (p < 0.01). Glottal closure and mucosal wave amplitude during stroboscopy improved significantly postoperatively (p < 0.05), whereas symmetry and periodicity did not (p > 0.05). Maximum phonation time, mean airflow rate, mean efficiency and mean pressure of aerodynamic analysis improved significantly after surgery (p < 0.05). However, mean resistance and mean power were not significantly different (p > 0.05). All parameters, except F (0) and soft phonation index during acoustic analysis with /a/, and except F (0), voice turbulence index and soft phonation index during acoustic analysis with constant phrase improved significantly after surgery (p < 0.05). Surgical treatments of sulcus vocalis are not satisfactory enough, yet. Excision of sulcus, primary suture of epithelial defect and medialization laryngoplasty is one of the successful surgical options. Intact vocal ligament at the bottom of sulcus is a good prognostic sign for good postoperative voice result. Success appears to depend on how long, how wide and how deep sulcus is. Good patient selection may increase the percentage of happy patients. PMID:22669269

Y?lmaz, Taner

2012-11-01

375

A novel way of trans-septal splint suturing without nasal packing for septoplasty.  

PubMed

Nasal packing has evolved over the years. Though effective in preventing postoperative bleeding complications, they are associated with significant morbidity and pain. In recent years nasal splints have been used to reduce the duration of nasal packs. The aim of this study is to compare the postoperative results in 200 nasal surgeries where in nasal packing was replaced by trans-septal splint suturing. Two hundred cases of septoplasties were prospectively studied over a period of 5 years at Adichunchanagiri Institute of Medical Sciences. In 100 cases (group A) nasal packing was done postoperatively whereas in other 100 (group B) trans-septal splint suturing was done. Post operatively patients were followed up in both groups regarding the presence of pain, bleeding, crusting and synechiae for a period of 6 months. Two hundred patients were prospectively studied over a period of 5 years with a male-female ratio of 1.35:1 and the mean age was 31. In group A out of 100 patients followed postoperatively, ten had mild bleeding on second day after pack removal none of which required repacking, 22 patients had mild pain on second and third day, 18 had moderate crusting on day 4, 12 had synechiae after 2 weeks. In group B, out of 100 patients, minimal bleeding was noted in 13 patients on day 1 and 2, mild discomfort was noted in the nose in 34 patients till day 7 (day of splint removal), crusting was noted in six patients, synechiae was noted in one patient. Elimination of pain and discomfort for the patients and absence of complications like synechiae. Also the hospital stay is less than with nasal packing. Therefore, suturing of the nasal septum with a splint after septoplasty should be a preferred alternative to nasal packing. PMID:25621232

Naik, Kiran

2015-03-01

376

Vertical muscle transposition augmented with lateral fixation (Foster) suture for Duane syndrome and sixth nerve palsy  

PubMed Central

Purpose To report the postoperative results of full-tendon vertical rectus transposition (VRT) augmented with lateral fixation suture for the treatment of type 1 Duane syndrome and sixth nerve palsy and to determine whether there was a decrease in the effect of the Foster suture over time. Methods This retrospective, consecutive case series included patients who underwent a full-tendon VRT transposition with lateral fixation for type 1 Duane syndrome or sixth nerve palsy. The primary outcome measures included deviation, abnormal head posture(AHP), abduction deficiency, and postoperative binocular single visual field (BSVF). Results Eighty-seven patients (87 eyes: 40 eyes with Duane syndrome and 47 eyes with sixth nerve palsy) were included in this study. In Duane syndrome patients, the deviation was reduced by a mean of 95%, the AHP was eliminated in 86% of patients, the abduction was improved by 42%, and a useful BSVF of ?67% of normal was achieved at 1 year post operation. In sixth nerve palsy patients, the deviation was reduced by 99%, the abduction was improved by 59%, and a useful BSVF of ?71% of normal was achieved at 1 year post operation. In both groups, the improvements in deviation angle and abduction were stable postoperatively. Sixteen patients needed reoperation for undercorrection. Conclusion VRT surgery with posterior fixation is an effective treatment method for complete sixth nerve palsy and Duane syndrome with esotropia, AHP, and abduction deficiency. The procedure carries a small risk of reoperation for undercorrection. The effect of the Foster suture did not decline over time. PMID:23907625

Akar, S; Gokyigit, B; Pekel, G; Demircan, A; Demirok, A

2013-01-01

377

A Systematic Review of Systematic Reviews and Panoramic Meta-Analysis: Staples versus Sutures for Surgical Procedures  

PubMed Central

Objective To systematically evaluate the evidence across surgical specialties as to whether staples or sutures better improve patient and provider level outcomes. Design A systematic review of systematic reviews and panoramic meta-analysis of pooled estimates. Results Eleven systematic reviews, including 13,661 observations, met the inclusion criteria. In orthopaedic surgery sutures were found to be preferable, and for appendicial stump sutures were protective against both surgical site infection and post surgical complications. However, staples were protective against leak in ilecolic anastomosis. For all other surgery types the evidence was inconclusive with wider confidence intervals including the possibly of preferential outcomes for surgical site infection or post surgical complication for either staples or sutures. Whilst reviews showed substantial variation in mean differences in operating time (I2 94%) there was clear evidence of a reduction in average operating time across all surgery types. Few reviews reported on length of stay, but the three reviews that did (I2 0%, including 950 observations) showed a non significant reduction in length of stay, but showed evidence of publication bias (P-value for Egger test 0.05). Conclusions Evidence across surgical specialties indicates that wound closure with staples reduces the mean operating time. Despite including several thousand observations, no clear evidence of superiority emerged for either staples or sutures with respect to surgical site infection, post surgical complications, or length of stay. PMID:24116028

Hemming, Karla; Pinkney, Thomas; Futaba, Kay; Pennant, Mary; Morton, Dion G.; Lilford, Richard J.

2013-01-01

378

Ulnar shortening after TFCC suture repair of Palmer type 1B lesions  

Microsoft Academic Search

Purpose  The objective of this study was to determine functional and subjective outcomes of an ulnar shortening procedure elected by\\u000a patients who experienced persistent ulno-carpal symptoms following arthroscopic suture repair of a Palmer type 1B lesion.\\u000a All patients had a dynamic ulna positive variance.\\u000a \\u000a \\u000a \\u000a Methods  Five patients (3 males and 2 females) with arthroscopic repair of Palmer type 1B tears who subsequently

Maya B. Wolf; Markus W. Kroeber; Andreas Reiter; Susanne B. Thomas; Peter Hahn; Raymund E. Horch; Frank Unglaub

2010-01-01

379

Open suture versus mesh repair of primary incisional hernias: a cost–utility analysis  

Microsoft Academic Search

Background  Despite 100,000 ventral hernia repairs (VHR) being performed annually, no gold standard for the technique exists. Mesh has\\u000a been shown to decrease recurrence rates, yet, concerns of increased complications and costs prevent its systematic use. We\\u000a examined the cost-effectiveness of open suture (OS) versus open mesh (OM) in primary VHR.\\u000a \\u000a \\u000a \\u000a Methods  A decision analysis model from the payer’s perspective comparing OS

K. R. Finan; M. L. Kilgore; M. T. Hawn

2009-01-01

380

Intraventricular pledgetted sutures to prevent suction events in patients with the heartware left ventricular assist device.  

PubMed

Suction events are among the frequently encountered issues after the implantation of a left ventricular assist device and may induce malignant arrhythmias. Several factors may play a role in inducing these suction events. A proper inflow cannula insertion site at the time of surgery, particularly in hypertrophic left ventricles, plays a significant role in the prevention of these events. We describe a novel technique that helps avoid future suction events through the application of several intraventricular pledgetted sutures that displace the intraventricular muscle away from the inflow cannula, change the left ventricular geometry, and provide more room around the inflow cannula. PMID:25087814

Saeed, Diyar; Maxhera, Bujar; Lichtenberg, Artur; Albert, Alexander

2014-08-01

381

Does the type of suture material contribute to the strength of the lateral paramedian incision?  

PubMed

A prospective randomized trial was carried out on 231 consecutive laparotomies in which the lateral paramedian incision was used in all cases. Closure of the wound was identical except for the anterior rectus sheath where closure was randomized to (a) chromic catgut, (b) polyglycolic acid or (c) polypropylene. Follow-up for 1 year has revealed no wound dehiscences and only one incisional hernia (in the catgut group). We conclude that the lateral paramedian incision is inherently strong, and that this strength is due to splintage of the wound by the rectus abdominis muscle itself and is unrelated to the type of suture material used. PMID:6279223

Donaldson, D R; Hall, T J; Zoltowski, J A; Guillou, P J; Brennan, T G

1982-03-01

382

Age-dependent Three-dimensional Microcomputed Tomography Analysis of the Human Midpalatal Suture  

Microsoft Academic Search

Aim:  The success of rapid maxillary expansion is hard to predict in patients from the age of 20. There are as yet no reliable parameters\\u000a enabling us to define success or failure a priori. The aim of this study was thus to use micro-CT techniques to quantify suture\\u000a morphology three-dimensionally, and investigate its relation to age.\\u000a \\u000a \\u000a \\u000a Material and Methods:  The morphology of

Heike Korbmacher; Arndt Schilling; Klaus Püschel; Michael Amling; Bärbel Kahl-Nieke

2007-01-01

383

New Devices and Techniques for Handling Adverse Events: Claw, Suture, or Cover?  

PubMed

Increasingly invasive therapeutic endoscopic procedures and laparoscopic surgeries have resulted in endoscopists being challenged more frequently with perforations, fistulas, and anastomotic leakages, for which nonsurgical closure is desired. Devices and techniques are available and in development for endoscopic closure of gastrointestinal wall defects. Currently available devices with excellent clinical success rates include the over-the-scope clip and an endoscopic suturing system. Another device, the cardiac septal defect occluder, has been adapted for use in the gastrointestinal tract. Extensive endoscopic knowledge, a highly trained endoscopy team, and the availability of devices and equipment are required to manage complications endoscopically. PMID:25442965

Kumta, Nikhil A; Boumitri, Christine; Kahaleh, Michel

2015-01-01

384

Sequential intercontinental suturing as the ultimate control for Pennsylvanian Ancestral Rocky Mountains deformation  

NASA Astrophysics Data System (ADS)

The geotectonic setting of Pennsylvanian uplifts and associated basins of the Ancestral Rocky Mountains province has long been unclear because analogy of the deformed intracontinental domain with either arc or collisional orogens is not apt. Diachronous subsidence of Ancestral Rocky Mountains basins was coincident with sequential closure, from east to west, of the Ouachita suture to the southeast. This geotectonic relationship suggests that Ancestral Rocky Mountains deformation was induced by intracontinental stresses associated with continued subduction of westerly parts of Laurentia after more easterly parts had locked against Gondwana.

Dickinson, William R.; Lawton, Timothy F.

2003-07-01

385

Torsional vibration reduction using passive nonlinear absorbers  

NASA Astrophysics Data System (ADS)

This paper considers the dynamic performance of systems of centrifugal pendulum vibration absorbers that are used to attenuate torsional vibrations in rotating systems. These absorbers, which can be found in certain IC engines and helicopter rotors, consist of movable masses whose centers of mass are kinematically restricted to move along prescribed paths relative to the rotor of interest. The most common choice for absorber paths are simple circles that are slightly mistuned from the desired order, so that undesirable nonlinear behaviors are avoided when the absorbers undergo large amplitude motions. In this work we consider a range of different path types and tunings, with the goal of optimizing performance over a wide operating range. This analytical study relies on a mathematical model of a rotor fitted with N identical, general-path absorbers, and utilizes perturbation techniques to obtain analytical estimates for the response of the rotor and the absorbers. The results are used to select path parameters based on selected performance measures, and the results are verified via simulation studies. It is shown that slightly overtuned cycloidal paths provide excellent vibration reduction characteristics and prevent the occurrence of nonlinear instabilities and vibration localization in the response of the absorbers.

Shaw, Steven W.; Alsuwaiyan, Abdallah

2000-04-01

386

A thermally tunable terahertz metamaterial absorber  

NASA Astrophysics Data System (ADS)

A thermally tunable terahertz metamaterial absorber (MA) with InSb embedded in a metal-dielectric-metal structure is proposed. The transmission and tuning properties of the proposed metamaterial absorber are analyzed for the temperature ranging from 160 K to 350 K. The simulated results show that the maximum absorption of the absorber is nearly 99.8% at a full-width at half-maximum (FWHM) of 38 GHz, and the absorption frequency can be dynamically tuned from 0.82 THz to 1.02 THz.

Zheng, Wei; Li, Wei; Chang, Sheng-jiang

2015-01-01

387

Bricolage Suture  

E-print Network

. allow me this: her eyes were amazing circles of blue-green and brown like a planet, quite compelling Then it started raining. She fell in love with a bronze man and moved back to Tulsa. On second thought, maybe it was a band: piano, trumpets, violas... lately anything with a taste of innocence crawls like centipedes sounds like a dialup connection docking at the pier the salesmen pile bodies of fleshfish onshore cross themselves and gaze 19 THE END, page 2, continue stanza skyward...

Wilson, Robert Justin

2014-05-31

388

Effects of sutures and fontanels on MEG and EEG source analysis in a realistic infant head model  

PubMed Central

In infants, the fontanels and sutures as well as conductivity of the skull influence the volume currents accompanying primary currents generated by active neurons and thus the associated electroencephalography (EEG) and magnetoencephalography (MEG) signals. We used a finite element method (FEM) to construct a realistic model of the head of an infant based on MRI images. Using this model, we investigated the effects of the fontanels, sutures and skull conductivity on forward and inverse EEG and MEG source analysis. Simulation results show that MEG is better suited than EEG to study early brain development because it is much less sensitive than EEG to distortions of the volume current caused by the fontanels and sutures and to inaccurate estimates of skull conductivity. Best results will be achieved when MEG and EEG are used in combination. PMID:23531680

Lew, Seok; Sliva, Danielle D.; Choe, Myong-sun; Grant, P. Ellen; Okada, Yoshio; Wolters, Carsten H.; Hämäläinen, Matti S.

2013-01-01

389

Single-layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations  

PubMed Central

The key point of digestive cancer surgery is reconstruction and anastomosis of the digestive tract. Traditional anastomoses involve double-layer interrupted suturing, manually or using a surgical stapler. In special anatomical locations, however, suturing may become increasingly difficult and the complication rate increases accordingly. In this study, we aimed to investigate the feasibility and safety of a new manual suturing method, the single-layer continuous suture in the posterior wall of the anastomosis. Between January, 2007 and August, 2012, 101 patients with digestive cancer underwent surgery in Xi’an Gaoxin Hospital. Of those patients, 27 underwent surgery with the new manual method and the remaining 74 underwent surgery using traditional methods of anastomosis of the digestive tract. Surgical time, intraoperative blood loss, drainage duration, complications, blood tests, postoperative quality of life (QOL) and overall expenditure were recorded and analyzed. No significant differences were observed in surgical time, intraoperative blood loss, temperature, blood tests and postoperative QOL between the two groups. However, compared with the control group, the new manual suture group exhibited a lower surgical complication rate (7.40 vs. 31.08%; P=0.018), lower blood transfusion volume (274.07±419.33 vs. 646.67±1,146.06 ml; P=0.053), shorter postoperative hospital stay (14.60±4.19 vs. 17.60±6.29 days; P=0.038) and lower overall expenditure (3,509.85±768.68 vs. 6,141.83±308.90 renminbi; P=0.001). Our results suggested that single-layer continuous suturing for the anastomosis of the digestive tract is feasible and safe and may contribute to the reduction of surgical complications and overall expenditure. PMID:24649327

LI, GUO-CAI; ZHANG, YU-CHUN; XU, YONG; ZHANG, FANG-CHENG; HUANG, WEI-HUA; XU, JIAN-QING; MA, QING-JIU

2014-01-01

390

Neoproterozoic ophiolitic peridotites along the Allaqi-Heiani suture, South Eastern Desert, Egypt  

NASA Astrophysics Data System (ADS)

The Wadi Allaqi ophiolite along the Egyptian-Sudanese border defines the southernmost ophiolitic assemblage and suture zone in the Eastern Desert. Ophiolite assemblages comprise nappes composed mainly of mafic and ultramafic rocks that were tectonically emplaced and replaced by serpentine and carbonates along shear zones probably due to CO2-metasomatism. Serpentinites, altered slices of the upper mantle, represent a distinctive lithology of dismembered ophiolites of the western YOSHGAH suture. Microscopically, they are composed of more than 90 % serpentine minerals with minor opaque minerals, carbonate, brucite and talc. The mineral chemistry and whole-rock chemical data reported here indicate that the serpentinized peridotites formed as highly-depleted mantle residues. They show compositions consistent with formation in a suprasubduction zone environment. They are depleted in Al2O3 and CaO similar to those in fore-arc peridotites. Also, high Cr# (Cr/ (Cr+Al)) in the relict chrome spinels (average ~0.72) indicates that these are residual after extensive partial melting, similar to spinels in modern fore-arc peridotites. Therefore, the studied serpentinites represent fragments of an oceanic lithosphere that formed in a fore-arc environment, which belongs to an ophiolitic mantle sequence formed in a suprasubduction zone.

Azer, M. K.; Samuel, M. D.; Ali, K. A.; Gahlan, H. A.; Stern, R. J.; Ren, M.; Moussa, H. E.

2013-10-01

391

Anatomic Deltoid Ligament Repair with Anchor-to-Post Suture Reinforcement: Technique Tip  

PubMed Central

The deltoid ligament is the primary ligamentous stabilizer of the ankle joint. Both superficial and deep components of the ligament can be disrupted with a rotational ankle fracture, chronic ankle instability, or in late stage adult acquired flatfoot deformity. The role of deltoid ligament repair in these conditions has been limited and its contribution to arthritis is largely unknown. Neglect of the deltoid ligament in the treatment of ankle injuries may be due to difficulties in diagnosis and lack of an effective method for repair. Most acute repair techniques address the superficial deltoid ligament with direct end-to-end repair, fixation through bone tunnels, or suture anchor repair of avulsion injuries. Deep deltoid ligament repair has been described using direct end-to-end repair with sutures, as well as by autograft and allograft tendon reconstruction utilizing various techniques. Newer tenodesis techniques have been described for late reconstruction of both deep and superficial components in patients with stage 4 adult acquired flatfoot deformity. We describe a technique that provides anatomic ligament-to-bone repair of the superficial and deep bundles of the deltoid ligament while reducing the talus toward the medial malleolar facet of the tibiotalar joint with anchor-to-post reinforcement of the ligamentous repair. This technique may protect and allow the horizontally oriented fibers of the deep deltoid ligament to heal with the appropriate resting length while providing immediate stability of the construct. PMID:23576946

Lack, William; Phisitkul, Phinit; Femino, John E.

2012-01-01

392

Suture-free laser-assisted vessel repair using CO2 laser and liquid albumin solder.  

PubMed

Numerous studies have shown that the use of proteinic solders during laser-assisted vascular anastomosis (LAVA) and repair (LAVR) can significantly increase welding strength, but these studies combined solder-mediated LAVA/R with the use of stay sutures, thereby defeating its purpose. In an in vitro study, we examined the leaking point pressures (LPPs) and histological damage profile of porcine carotid arteries following albumin solder-mediated CO(2) LAVR without the use of sutures. Longitudinal arteriotomies (9.1+/-0.8 mm in length) were sheathed with 25% liquid bovine serum albumin solder, and LAVR was performed using a micromanipulator-controlled CO(2) laser operating at 170-mW power and 1.25-mm spot size in continuous wave mode. The welding regime consisted of a transversal zigzag pass followed by one or two longitudinal zigzag passes, producing an irradiance of 13.9 W/cm(2) and energies of 10.5 J and 11.3 J per mm weld, respectively. LPPs were measured by the fluid infusion technique, and histological analysis was performed with light, fluorescence, and polarization microscopy. The LPP of the two-pass welds was 351+/-158 mmHg versus 538+/-155 mmHg for the three-pass welds. Thermal damage was confined primarily to the adventitial layers, with limited heat diffusion into the media below the solder around the coaptation interface. PMID:19021359

Wolf-de Jonge, Ingrid C D Y M; Heger, Michal; van Marle, Jan; Balm, Ron; Beek, Johan F

2008-01-01

393

Case Study: Reduction of Gluteal Implant Infection Rates with Use of Retention Sutures  

PubMed Central

Summary: The intramuscular technique has been the most popular technique among plastic surgeons for gluteal implantation. Complication rates of up to 30% including infection, hematoma, seromas, and dehiscence are reported in several studies. One main question that arises is whether the wound dehiscence occurs first followed by infection or vice versa. We present a case study of 3 patients who received gluteal augmentation. We used an alternative technique in closure of the gluteal flap which included the use of retention sutures along the sacral incision. Follow-up included postoperative day 2, every week for 6 weeks, and then every month for 6 months. Postoperatively patients were advised to not sleep in supine position for 3 weeks and avoid pressure to the area. The 3 patients remained infection free at 2 days and weekly for 6 weeks. The use of retention sutures along the flap closure site may be a useful and simple technique to avoid high gluteal implant infection rates that have been reported in the literature. We plan to apply this technique to all of our future gluteal augmentations and track long-term results. Preventing complications will result in improved aesthetic results, increased patient satisfaction, less frequent office visits, and less financial cost to both patient and physician. PMID:25674370

Connolly, Mark; Wiesman, Irvin

2015-01-01

394

Uterine closure with unlocked suture in cesarean section: Safety and Quality  

PubMed Central

Objective: Comparing locked and unlocked uterine closure techniques in terms of bleeding control and uterine incision healing. Methods: The patients undergoing cesarean section in Sifa University Hospital between May - October 2012 were accepted to this prospective controlled study. Primarily, safety was evaluated. The hemoglobin count (HC) and serum creatine kinase (CK) levels of the patients in the locked (n = 47) and unlocked (n = 35) groups were measured just before and 24 hours after operation. Hemoglobin deficit, increase in CK and the additional hemostatic sutures were compared. Secondly, uterine scar healing was evaluated three months later. Scar thickness, niche and percentage of thinning of the scar region of the locked (n = 27) and unlocked (n = 32) groups were calculated and compared. Results: The hemoglobin deficit was similar in two groups. CK rise was less in the unlocked group but it was not significant (P = 0.082). Unlocked group needed more additional sutures (P = 0.016). The thickness of the niche and the percentage of thinning of the scar region were significantly less in the unlocked group (P= 0.002, P=0.000). Conclusions: Unlocked uterine closure technique is safe and has less damage to the myometrium. PMID:24948973

Turan, Guluzar Arzu; Gur, Esra Bahar; Tatar, Sumeyra; Gokduman, Ayse; Guclu, Serkan

2014-01-01

395

Effect of nutrition, diet and suture material on long term wound healing.  

PubMed Central

Although it is known that malnutrition hinders early wound healing, it has not been determined whether this occurs because of formation of a poor scar or a slow rate of normal healing; the ultimate fate of the malnourished wound is unknown. Malnutrition was produced in rats by short gut syndrome. Elemental diet was compared to rat chow and silk was compared with polyglycolic acid suture. Nutritional deficiency was seen in short gut rats for two weeks postoperatively. Thereafter adaptation allowed partial recovery, but relative deficiency persisted. Morbidity and mortality of short gut rats doubled that of controls and all wound complications were limited to this group, occurring within the first two weeks. Malnourished animals surviving for 60 days had wound strength equal to the control rats as determined by gut anastomosis bursting strength, skin wound breaking strength and wound hydroxyproline content. Neither diet nor suture material altered ultimate wound strength. Improved nutrition allowed more animals and wound to survive, but ultimate healing survivors was indistinguishable from that of normal controls. Thus early weakness probably results from slow healing rather than formation of poor scar. Nutrition plays an important role in early strength and survival, but not in ultimate wound healing. PMID:1211997

Temple, W J; Voitk, A J; Snelling, C F; Crispin, J S

1975-01-01

396

Case study: reduction of gluteal implant infection rates with use of retention sutures.  

PubMed

The intramuscular technique has been the most popular technique among plastic surgeons for gluteal implantation. Complication rates of up to 30% including infection, hematoma, seromas, and dehiscence are reported in several studies. One main question that arises is whether the wound dehiscence occurs first followed by infection or vice versa. We present a case study of 3 patients who received gluteal augmentation. We used an alternative technique in closure of the gluteal flap which included the use of retention sutures along the sacral incision. Follow-up included postoperative day 2, every week for 6 weeks, and then every month for 6 months. Postoperatively patients were advised to not sleep in supine position for 3 weeks and avoid pressure to the area. The 3 patients remained infection free at 2 days and weekly for 6 weeks. The use of retention sutures along the flap closure site may be a useful and simple technique to avoid high gluteal implant infection rates that have been reported in the literature. We plan to apply this technique to all of our future gluteal augmentations and track long-term results. Preventing complications will result in improved aesthetic results, increased patient satisfaction, less frequent office visits, and less financial cost to both patient and physician. PMID:25674370

Salamat, Arsalan; Connolly, Mark; Wiesman, Irvin

2015-01-01

397

Arthroscopic posterior bone block procedure: a new technique using suture anchor fixation.  

PubMed

We present a novel all-arthroscopic technique of posterior shoulder stabilization that uses suture anchors for both bone block fixation and capsulolabral repair. The bone graft, introduced inside the glenohumeral joint through a cannula, is fixed with 2 suture anchors. The associated posteroinferior capsulolabral repair places the bone block in an extra-articular position. In this article we present the detailed arthroscopic technique performed in a consecutive series of 15 patients and report the early results. We also report the positioning, healing, and remodeling of the bone block using postoperative 3-dimensional computed tomography. The benefits of this new technique are as follows: (1) it is all arthroscopic, preserving the posterior deltoid and posterior rotator cuff muscles; (2) it is accurate, resulting in appropriate bone block positioning; (3) it is efficient, allowing for consistent bone graft healing; (4) it is anatomic, both restoring the glenoid bone stock and repairing the injured posterior labrum; and (5) it is safe, limiting hardware-related complications and eliminating the risk of injury to vital structures associated with drilling or screw insertion from posterior to anterior. We believe that this technique is advantageous because it does not use screws for fixation and may be safer for the patient. PMID:24892011

Boileau, Pascal; Hardy, Marie-Béatrice; McClelland, Walter B; Thélu, Charles-Edouard; Schwartz, Daniel G

2013-11-01

398

Pancraniosynostosis following endoscope-assisted strip craniectomy and helmet orthosis for sagittal suture craniosynostosis in a nonsyndromic patient.  

PubMed

A variety of surgical strategies are used to correct sagittal craniosynostosis. There is increasing experience with the use of endoscope-assisted techniques, although there is no consensus regarding the optimal technique. Pancraniosynostosis occurring after the surgical repair of single-suture craniosynostosis is an unusual complication. The authors describe the case of a nonsyndromic patient who underwent an endoscope-assisted strip craniectomy with the subsequent use of a helmet orthosis for correction of an isolated sagittal suture craniosynostosis. The patient's early postoperative course was uneventful. Pancraniosynostosis subsequently developed, requiring much more extensive surgical correction. Awareness of this potential complication is necessary to ensure its recognition and appropriate management. PMID:23662934

Jenkins, Gregory H; Smith, Nicola R; McNeely, P Daniel

2013-07-01

399

Terahertz backscattering behavior of various absorbing materials  

NASA Astrophysics Data System (ADS)

The Submillimeter-Wave Technology Laboratory (STL) at the University of Massachusetts Lowell has investigated the electromagnetic scattering behavior of various broadband absorbers. Several absorbing materials were tested in a compact radar range operating at a center frequency of 160 GHz. The polarimetric radar cross section was measured at elevation angles from 15° to 75°. In addition to the backscattering behavior, the normal incidence transmittance of the materials was evaluated.

Wu, C.; Gatesman, A. J.; DeRoeck, L.; Horgan, T.; Giles, R. H.; Nixon, W. E.

2009-05-01

400

Perfect terahertz absorber using fishnet based metafilm  

SciTech Connect

We present a perfect terahertz (THz) absorber working for a broad-angle of incidence. The two fold symmetry of rectangular fishnet structure allows either complete absorption or mirror like reflection depending on the polarization of incident the THz beam. Metamaterials enable the ability to control the electromagnetic wave in a unique fashion by designing the permittivity or permeability of composite materials with desired values. Although the initial idea of metamaterials was to obtain a negative index medium, however, the evolution of metamaterials (MMs) offers a variety of practically applicable devices for controlling electromagnetic wave such as tunable filters, modulators, phase shifters, compact antenna, absorbers, etc. Terahertz regime, a crucial domain of the electromagnetic wave, is suffering from the scarcity of the efficient devices and might take the advantage of metamaterials. Here, we demonstrate design, fabrication, and characterization of a terahertz absorber based on a simple fishnet metallic film separated from a ground mirror plane by a dielectric spacer. Such absorbers are in particular important for bolometric terahertz detectors, high sensitivity imaging, and terahertz anechoic chambers. Recently, split-ring-resonators (SRR) have been employed for metamaterial-based absorbers at microwave and THz frequencies. The experimental demonstration reveals that such absorbers have absorptivity close to unity at resonance frequencies. However, the downside of these designs is that they all employ resonators of rather complicated shape with many fine parts and so they are not easy to fabricate and are sensitive to distortions.

Azad, Abul Kalam [Los Alamos National Laboratory; Shchegolkov, Dmitry Yu [Los Alamos National Laboratory; Chen, Houtong [Los Alamos National Laboratory; Taylor, Antoinette [Los Alamos National Laboratory; Smirnova, E I [Los Alamos National Laboratory; O' Hara, John F [Los Alamos National Laboratory

2009-01-01

401

21 CFR 878.4755 - Absorbable lung biopsy plug.  

Code of Federal Regulations, 2014 CFR

...2014-04-01 2014-04-01 false Absorbable lung biopsy plug. 878.4755 Section 878...Surgical Devices § 878.4755 Absorbable lung biopsy plug. (a) Identification. A preformed (polymerized) absorbable lung biopsy plug is intended to...

2014-04-01

402

Journal of the Geological Society, London, Vol. 150, 1993, pp. 1065-1074, 13 figs. Printed in Northern Ireland Structure of the late Proterozoic Nakasib suture, Sudan  

E-print Network

in Northern Ireland Structure of the late Proterozoic Nakasib suture, Sudan M. G. ABDELSALAM & R. J. STERN-0688, USA Abstract: The Nakasib suture is a prominent structural belt in the central Red Sea Hills, Sudan Sea Hills of the Sudan (Fig. 1). It is left-laterally offset by the younger, north to NNW-trending Oko

Stern, Robert J.

403

The Proterozoic Mount Isa Fault Zone, northeastern Australia: is it really a ca. 1.9 Ga terrane-bounding suture?  

Microsoft Academic Search

In marked contrast to Palaeoproterozoic Laurentia, the location of sutures and boundaries of discrete crustal fragments amalgamated during Palaeoproterozoic formation of the North Australian Craton remain highly speculative. Interpretations of suture locations have relied heavily on the analysis of regional geophysical datasets because of sparse exposure of rocks of the appropriate age. The Mount Isa Fault Zone has been interpreted

Frank P. Bierlein; Peter G. Betts

2004-01-01

404

Alkali burn versus suture-induced corneal neovascularization in C57BL/6 mice: an overview of two common animal models of corneal neovascularization.  

PubMed

The purpose of the present study was to quantify and compare corneal hem- and lymphangiogenesis between alkali burn and suture-induced corneal neovascularization (CNV) in two commonly used mouse strains. A retrospective analysis was performed on C57BL/6 and FVB neovascularized corneas. CNV was induced by surface caustication with NaOH or intrastromal placement of three 10.0 nylon sutures. Hemangiogenesis and lymphangiogenesis extent was calculated on whole mounted corneas by CD31 and LYVE1 immunofluorescence analysis. Blood vessel growth was similar between alkali burn and suture-induced CNV in C57BL/6 mice, and between C57BL/6 and FVB sutured strains. On the contrary, corneal lymphangiogenesis was more pronounced in the C57BL/6 sutured mice versus the alkali burn group, and in the FVB strain versus both C57BL/6 models. These results indicate that significant differences occur in lymphangiogenesis, but not hemangiogenesis, in the alkali burn and suture-induced models in C57BL/6 mice. Furthermore, lymphangiogenesis is more pronounced in the albino (FVB) strain after suture placement. We suggest that the suture model has a number of advantages and may be preferentially used to study corneal lymphangiogenesis. PMID:24560796

Giacomini, Chiara; Ferrari, Giulio; Bignami, Fabio; Rama, Paolo

2014-04-01

405

Impact of Endoscopic Suturing of the Gastroesophageal Junction on Lower Esophageal Sphincter Function and Gastroesophageal Reflux in Patients with Reflux Disease  

Microsoft Academic Search

OBJECTIVES:Plication of the gastroesophageal junction by endoscopic suturing has been reported to improve symptoms and reduce acid exposure in patients with gastroesophageal reflux disease (GERD). The mechanisms underlying these effects are not well defined. The aims of our study were to determine the impact of endoscopic suturing of the gastroesophageal junction on lower esophageal sphincter (LES) function in patients with

William C. E. Tam; Richard H. Holloway; John Dent; Rachael Rigda; Mark N. Schoeman

2004-01-01

406

Modal properties and stability of centrifugal pendulum vibration absorber systems with equally spaced, identical absorbers  

NASA Astrophysics Data System (ADS)

This work develops an analytical model of centrifugal pendulum vibration absorber systems with equally spaced, identical absorbers and uses it to investigate the structure of the modal vibration properties. The planar model admits two translational and one rotational degrees-of-freedom for the rotor and a single arclength degree-of-freedom for each absorber. The gyroscopic effects from rotor rotation are taken into account. Examination of the associated eigenvalue problem reveals well-defined structure of the vibration modes resulting from the cyclic symmetry of the absorbers. The vibration modes are classified into rotational, translational, and absorber modes. Characteristics of each mode type are analytically proved. The effects of the absorber tuning order on the modes are derived. The critical speeds and flutter instability of the system are studied numerically and analytically.

Shi, Chengzhi; Parker, Robert G.

2012-10-01

407

Flow regime of the Joerg Peninsula suture zone, Larsen C Ice Shelf: the role of marine ice  

NASA Astrophysics Data System (ADS)

The flow units making up Antarctic ice shelves are fed primarily by discharge from glaciers. In the lee of peninsulae separating such units the ice is anomalously thin, as there is no or little ice inflow from the promontories itself. In these "gaps" between the flow units, super-cooled water is rising and freezing, leading to accretion of marine ice. Evidence for the existence of marine ice has been found in several Antarctic ice shelves of different geometry and scale. Marine-ice-rich suture zones are warmer, softer, more permeable than the surrounding flow units coming from tributary glaciers, and thus introduce significant mechanical heterogeneity to the ice shelf. In the first instance suture zones appear to have a stabilizing effect by interrupting rift or crevasse propagation. However, they might equally be regarded as particularly vulnerable, because due to its higher temperature and different structure marine ice is softer than meteoric ice, sustaining elevated velocity gradients across suture zones that could mechanically decouple neighbouring ice units. The amount of marine ice accretion is also subject to oceanic conditions, changes in ocean temperature could lead to less freezing and thinner ice within suture zones. This could weaken the coupling between flow units downstream of peninsulae, and thus impact critically on ice-shelf dynamics and fracturing. In this study we analyzed the basal mass balance of a suture zone within the Larsen C Shelf, Antarctic Peninsula, which is located downstream of the Joerg Peninsula in the southern part of the ice shelf. We obtained GPR and GPS data of the origin of the suture zone, covering an area of approx. 400 km2, as well as several GPR profiles across and along the suture zone further towards the calving front. This data set delineates in 3D the boundaries between the meteoric and marine ice bodies, provides meteoric ice thicknesses and densities and supports calculation of marine ice thicknesses assuming hydrostatic equilibrium. Mean accumulation rates for marine ice along the measured GPR profiles are 0.2 m per year (preliminary result). The freezing rates are also discussed in comparison to a basal mass balance derived by numerical modelling of the interaction of ice shelf and ocean. To quantify the influence of the warmer marine ice bands on the overall stress balance of the surrounding ice shelf area, we used a finite-difference, diagnostic ice-shelf model of which earlier versions have been applied successfully to the Larsen B and C Ice Shelves. Marine ice within suture zones was implemented by modifying appropriately the temperature dependent depth-integrated flow factor A in Glen's law. The simulated flow regime of the Joerg Peninsula suture zone in its current state could be validated by remotely sensed flow velocities. High lateral velocity gradients across the suture zone in the observed velocity coincide with the high gradients caused by warm suture zone ice in the modelled velocities. Further sensitivity studies have been performed to test how changing freezing rates (i.e. amount of marine ice) and changing inflow velocities of the joining ice units affect their merging process.

Jansen, D.; Luckman, A.; Kulessa, B.; King, E. C.; Holland, P.

2012-04-01

408

On the definition of absorbed dose  

NASA Astrophysics Data System (ADS)

Purpose: The quantity absorbed dose is used extensively in all areas concerning the interaction of ionizing radiation with biological organisms, as well as with matter in general. The most recent and authoritative definition of absorbed dose is given by the International Commission on Radiation Units and Measurements (ICRU) in ICRU Report 85. However, that definition is incomplete. The purpose of the present work is to give a rigorous definition of absorbed dose. Methods: Absorbed dose is defined in terms of the random variable specific energy imparted. A random variable is a mathematical function, and it cannot be defined without specifying its domain of definition which is a probability space. This is not done in report 85 by the ICRU, mentioned above. Results: In the present work a definition of a suitable probability space is given, so that a rigorous definition of absorbed dose is possible. This necessarily includes the specification of the experiment which the probability space describes. In this case this is an irradiation, which is specified by the initial particles released and by the material objects which can interact with the radiation. Some consequences are discussed. Specific energy imparted is defined for a volume, and the definition of absorbed dose as a point function involves the specific energy imparted for a small mass contained in a volume surrounding the point. A possible more precise definition of this volume is suggested and discussed. Conclusions: The importance of absorbed dose motivates a proper definition, and one is given in the present work. No rigorous definition has been presented before.

Grusell, Erik

2015-02-01

409

The Neoproterozoic Keraf Suture in NE Sudan: Sinistral Transpression along the Eastern Margin of West Gondwana1  

E-print Network

The Neoproterozoic Keraf Suture in NE Sudan: Sinistral Transpression along the Eastern Margin Sudan remains poorly under-2 University of Houston Department of Geosciences, Hous- stood because of its Geological Research Authority of the Sudan, Regional Ge- ology Administration, Box 410, Khartoum, Sudan

Stern, Robert J.

410

In vivo Molecular Evaluation of Guinea Pig Skin Incisions Healing after Surgical Suture and Laser Tissue Welding Using Raman Spectroscopy  

PubMed Central

The healing process in guinea pig skin following surgical incisions was evaluated at the molecular level, in vivo, by the use of Raman spectroscopy. After the incisions were closed either by suturing or by laser tissue welding (LTW), differences in the respective Raman spectra were identified. The study determined that the ratio of the Raman peaks of the amide III (1247 cm?1) band to a peak at 1326 cm?1 (the superposition of elastin and keratin bands) can be used to evaluate the progression of wound healing. Conformational changes in the amide I band (1633 cm?1 to 1682 cm?1) and spectrum changes in the range of 1450 cm?1 to 1520 cm?1 were observed in LTW and sutured skin. The stages of the healing process of the guinea pig skin following LTW and suturing were evaluated by Raman spectroscopy, using histopathology as the gold standard. LTW skin demonstrated better healing than sutured skin, exhibiting minimal hyperkeratosis, minimal collagen deposition, near-normal surface contour, and minimal loss of dermal appendages. A wavelet decomposition-reconstruction baseline correction algorithm was employed to remove the fluorescence wing from the Raman spectra. PMID:19581109

Alimova, A.; Chakraverty, R.; Muthukattil, R.; Elder, S.; Katz, A.; Sriramoju, V.; Lipper, Stanley; Alfano, R. R.

2009-01-01

411

In vivo molecular evaluation of guinea pig skin incisions healing after surgical suture and laser tissue welding using Raman spectroscopy.  

PubMed

The healing process in guinea pig skin following surgical incisions was evaluated at the molecular level, in vivo, by the use of Raman spectroscopy. After the incisions were closed either by suturing or by laser tissue welding (LTW), differences in the respective Raman spectra were identified. The study determined that the ratio of the Raman peaks of the amide III (1247 cm(-1)) band to a peak at 1326 cm(-1) (the superposition of elastin and keratin bands) can be used to evaluate the progression of wound healing. Conformational changes in the amide I band (1633-1682 cm(-1)) and spectrum changes in the range of 1450-1520 cm(-1) were observed in LTW and sutured skin. The stages of the healing process of the guinea pig skin following LTW and suturing were evaluated by Raman spectroscopy, using histopathology as the gold standard. LTW skin demonstrated better healing than sutured skin, exhibiting minimal hyperkeratosis, minimal collagen deposition, near-normal surface contour, and minimal loss of dermal appendages. A wavelet decomposition-reconstruction baseline correction algorithm was employed to remove the fluorescence wing from the Raman spectra. PMID:19581109

Alimova, A; Chakraverty, R; Muthukattil, R; Elder, S; Katz, A; Sriramoju, V; Lipper, Stanley; Alfano, R R

2009-09-01

412

Phylogenetics and phylogeography of the monocot genus Baldellia (Alismataceae): Mediterranean refugia, suture zones and implications for conservation  

E-print Network

for thoroughly documenting the genetic diversity and clarifying the taxon- omy of this endangered genus. Our collected in northern Africa, appeared to be genetically distinct from their European counterparts Geographical genetic structure Glacial refugia Molecular markers Suture zones a b s t r a c t Aquatic plants

Binford, Michael W.

413

In vivo molecular evaluation of guinea pig skin incisions healing after surgical suture and laser tissue welding using Raman spectroscopy  

Microsoft Academic Search

The healing process in guinea pig skin following surgical incisions was evaluated at the molecular level, in vivo, by the use of Raman spectroscopy. After the incisions were closed either by suturing or by laser tissue welding (LTW), differences in the respective Raman spectra were identified. The study determined that the ratio of the Raman peaks of the amide III

A. Alimova; R. Chakraverty; R. Muthukattil; S. Elder; A. Katz; V. Sriramoju; Stanley Lipper; R. R. Alfano

2009-01-01

414

Healing and evaluating guinea pig skin incision after surgical suture and laser tissue by welding using in vivo Raman spectroscopy  

Microsoft Academic Search

Changes in collagen in the wound during the healing process of guinea pig skin following surgical incisions and LTW was evaluated using in vivo, using Raman spectroscopy. Raman spectroscopy provided information regarding the internal structure of the proteins. After the incisions were closed either by suturing or by LTW the ratio of the Raman peaks of the amide III (1247

A. Alimova; V. Sriramoju; R. Chakraverty; R. Muthukattil; R. R. Alfano

2010-01-01

415

Efficacy of Quilting Sutures and Fibrin Sealant Together for Prevention of Seroma in Extended Latissimus Dorsi Flap Donor Sites  

PubMed Central

Background The extended latissimus dorsi flap is important for breast reconstruction. Unfortunately, donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. Although using fibrin sealant in the donor site reduces the rate of seroma formation, donor site seroma remains a troublesome complication. The purpose of this study was to analyze the effectiveness of the combination of quilting sutures and fibrin sealant in the latissimus dorsi donor site for the prevention of seroma. Methods Forty-six patients who underwent breast reconstruction with extended latissimus flap were enrolled in the study. The patients received either fibrin sealant (group 1, n=25) or a combination of fibrin sealant and quilting sutures (group 2, n=21) in the extended latissimus dorsi donor site. Outcome measures were obtained from the incidence, volume of postoperative seroma, total drainage amount, indwelling period of drainage, and duration of hospital stay. Results The incidence of seroma was 76% in group 1 and 42.9% in group 2 (P=0.022). We also found significant reductions in seroma volume (P=0.043), total drainage amount (P=0.002), indwelling period of drainage (P=0.01), and frequency of aspiration (P=0.043). The quilting sutures did not affect the rate of drainage, tube reinsertion, or hospital stay. Conclusions The use of quilting sutures combined with fibrin sealant on the latissimus dorsi flap donor site is helpful for reducing the overall seroma volume, frequency of aspiration, and total drainage amount. PMID:23094247

Shin, In Soo; Lee, Dong Won

2012-01-01

416

Use of sutures as Kirschner wire and tension-band wire for olecranon fractures: a technical note.  

PubMed

Open reduction and internal fixation using tension-band wires for displaced olecranon fractures enables restoration of extensor function. We report on 3 elderly patients with a displaced olecranon fracture who underwent open reduction and internal fixation using sutures as the Kirschner wire and tension-band wire and achieved good outcome. PMID:25550036

Henseler, J F; van der Zwaal, P; Dijkstra, P Ds

2014-12-01

417

Brief communication: The size of the human frontal sinuses in adults presenting complete persistence of the metopic suture.  

PubMed

The notion of absence of the frontal sinuses in human individuals presenting a persistence of the metopic suture is considered as classical in many treatises of reference; however, precise studies are very rare and even controversial. The purpose of this study was thus to provide original data to confirm or refute this classical affirmation with the perspective of some original insights into biological significance of the frontal sinuses and the factors influencing their exceptional polymorphism. The material consisted of 143 dry skulls of adult individuals (European Homo sapiens), distributed in two groups: 80 skulls presenting a complete frontal closure with total disappearance of the metopic suture, and 63 skulls presenting a complete persistence of the metopic suture. Each skull was radiographed in oblique projection using the occipitomental view. A simple morphological quantification of the sinus size was defined with four categories: (1) aplasia, (2) hypoplasia, (3) medium size, (4) hyperplasia. Statistically significant difference in frontal sinusal size was found between both groups of skulls. Absent and small sinuses were considerably more frequent in skulls with persistence of the metopic suture (57.9 vs. 11.9%): small frontal sinuses (hypoplasia) were much more frequent (50.8 vs. 9.4%), although the frequency of absence of frontal sinuses (aplasia) was only slightly higher (7.1 vs. 2.5%). PMID:24888448

Guerram, Amine; Le Minor, Jean-Marie; Renger, Stéphane; Bierry, Guillaume

2014-08-01

418

Thermal evidence for early Cretaceous metamorphism in the Shyok suture zone and age of the Khardung volcanic rocks, Ladakh, India  

Microsoft Academic Search

The Dras island arc (NW India) is intruded by the Ladakh Batholith and rimmed along its southern margin by the Indus suture zone, which developed ca. 50Ma at the start of the India–Asia collision. Along its northern margin the Ladakh Batholith intrudes the Shyok Formation, a series of folded and faulted metasedimentary and metavolcanic rocks that are thought to mark

W. J. Dunlap; R. Wysoczanski

2002-01-01

419

The telescoping suture--Part II: A novel method to improve the mechanical behavior of a new biomaterial: ostrich pericardium.  

PubMed

Ostrich pericardium, sutured using a telescoping or overlapping technique, was studied to determine its mechanical behavior. From each of 12 pericardial sacs, four contiguous strips were cut longitudinally, from root to apex, and another four contiguous strips were cut in transverse direction. One of the strips in each set of four was used as an unsutured control and the remaining three were sutured by overlapping 0.5 cm of the tissue and sewing with Gore-tex, Prolene or Pronova. These 96 samples were then subjected to tensile testing along their major axes until rupture. The tensile stresses recorded in the suture materials at the moment tears appeared in the pericardium ranged between 55.99 MPa and 70.23 MPa for Gore-tex in samples cut in the two directions. Shear stress became ostensible at 56 MPa, with clearly evident tears. However, microfracture of the collagen fibers must be produced at much lower stress levels. The comparison of the resistance in kilograms (machine-imposed), without taking into account the sections in which the load was applied, demonstrated only a slight loss of load when the telescoping suture was employed in ostrich pericardium samples. Ostrich pericardium may continue to be an alternative biological material for the construction of heart valve leaflets. PMID:12557997

García Páez, J M; Jorge Herrero, E; Rocha, A; Martín-Maestro, M; Castillo-Olivares, J L; Millán, I; Carrera Sanmartín, A; Cordón, A

2002-10-01

420

New constraints on the India–Asia collision: the Lower Miocene Gangrinboche conglomerates, Yarlung Tsangpo suture zone, SE Tibet  

Microsoft Academic Search

Lower Miocene conglomerates crop out along the length of the Yarlung Tsangpo suture zone on the southern margin of the Lhasa terrane. These conglomerates, known by various local names, are correlated herein as the Gangrinboche conglomerates. All units exhibit broadly similar stratigraphic histories and a basal depositional contact upon an eroded surface of rocks of the Lhasa terrane is ubiquitous.

Jonathan C. Aitchison; Aileen M. Davis; Badengzhu; Hui Luo

2002-01-01

421

Reduction of suture associated inflammation after 28 days using novel biocompatible pseudoprotein poly(ester amide) biomaterials.  

PubMed

Sutures elicit an inflammatory response, which may impede the healing process and result in wound complications. We recently reported a novel family of biocompatible, biodegradable polymers, amino acid-based poly(ester amide)s (AA-PEA), which we have shown to significantly attenuate the foreign body inflammatory response in vitro. Two types of AA-PEA (Phe-PEA and Arg-Phe-PEA) were used to coat silk or plain-gut sutures, which were implanted in the gluteus muscle of C57BL/6 mice, while the uncoated control sutures were implanted in the contralateral side. After 3, 7, 14, and 28 days the mean area of inflammation surrounding the sutures was compared. Phe-PEA coating of silk sutures significantly decreased inflammation compared with noncoated controls (67.8?±?17.4% after 3d [p?=?0.0014], 51.6?±?7.2% after 7d [p?sutures were similarly assessed and demonstrated a significant decrease in the mean area of inflammation across all time points (54.1?±?8.3% after 3 d, 41.4?±?3.9% after 7 d, 71.5?±?8.1% after 14 d, 78.4?±?8.5%, and after 28 d [all p?sutures in vivo for up to 28 days. © 2014 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 103B: 457-463, 2015. PMID:24916020

Hernandez, Karina A; Hooper, Rachel Campbell; Boyko, Tatiana; Golas, Alyssa R; van Harten, Michel; Wu, D Q; Weinstein, Andrew; Chu, C C; Spector, Jason A

2015-02-01

422

A Novel Surgical Pre-suturing Technique for the Management of Ankyloglossia  

PubMed Central

Ankyloglossia or “tongue-tie” is a congenital anomaly caused by tight lingual frenulum that abnormally connects the tongue base to the floor of the mouth. Ankyloglossia can results in difficulty during speech and deglutition. This case series presents a novel surgical technique in the management of ankyloglossia in using presuturing technique in which different sets of sutures are given on lingual frenum before severing it. This results in reduced opening of the wound, minimal bleeding, pain and discomfort. Two male patients with severe ankyloglossia had been managed with this technique and after 2 years of follow-up of these cases showed satisfactory protrusive and lateral movement of the tongue with minimal scarring and discomfort.

Khairnar, Mayur; Pawar, Babita; Khairnar, Darshana

2014-01-01

423

The "washing line" suture technique for securing the Subepithelial Connective Tissue Graft.  

PubMed

Following tooth extraction, resorption of the buccal wall of the socket will occur; this will be true for both the maxilla and the mandible. Where the extraction site is surrounded by natural dentition, the loss of the buccal alveolar plate can degrade the visual aesthetics of an implant-supported prosthetic rehabilitation. To aid the harmonization of the hard and soft tissue morphology, both hard and soft tissue augmentation can be carried out either consecutively with an extraction/immediate implant placement or prior to an implant placement in the delayed scenario. The contemporary method of increasing soft tissue volume is to use the Subepithelial Connective Tissue (auto) Graft (the SCTG). The graft requires fixation, otherwise it can be extruded from the recipient site. This article presents a novel suturing technique which can confidently secure the SCTG, thus resisting its dislodgement. PMID:25020220

McCrea, Shane J J

2014-07-01

424

Partial-thickness articular surface supraspinatus tears: a new transtendon suture technique.  

PubMed

The standard technique for repairing partial-thickness tears of the supraspinatus tendon includes completion of the lesion to a full-thickness tear. Partial articular-side supraspinatus tendon avulsions (PASTA) form a subgroup deserving special consideration. We present a transtendon suture technique that is able to preserve the intact tendon fibers and to achieve firm attachment of the tendon to the humeral footprint using 1 double-loaded bone anchor. The surgical technique is described in detail, and pitfalls and complications are noted. The clinical results of the first 22 consecutive patients are reported, showing an increase in the UCLA score from 17.1 to 31.2 points and a patient satisfaction rate of 91%. PMID:15756195

Waibl, Bernhard; Buess, Eduard

2005-03-01

425

Arthroscopic assessment for patellar injuries and novel suture repair of patellar fracture in a cat.  

PubMed

A 4 yr old spayed female domestic shorthair was evaluated for an acute, nonweight-bearing, left hind limb lameness. Following 2 wk of conservative management without clinical improvement, the patient was referred for further examination. The stifle was palpably enlarged with suspected periarticular fibrosis. Radiographs showed a lateral longitudinal patellar fracture as well as a medial patellar luxation. Arthroscopic examination of the stifle and repair of the patellar fracture and luxation were performed with an excellent clinical outcome. Nine weeks postoperatively, the owners reported that the cat was using the leg normally inside, and re-examination revealed no pain or crepitus with manipulation of the limb. To the authors' knowledge, this is the first reported use of arthroscopy as a diagnostic tool and of suture reduction for fracture repair in the management of feline patellar injury. PMID:23690486

Cusack, Lara; Johnson, Matthew

2013-01-01

426

Ferrite HOM Absorber for the RHIC ERL  

SciTech Connect

A superconducting Energy Recovery Linac is under construction at Brookhaven National Laboratory to serve as test bed for RHIC upgrades. The damping of higher-order modes in the superconducting five-cell cavity for the Energy-Recovery linac at RHIC is performed exclusively by two ferrite absorbers. The ferrite properties have been measured in ferrite-loaded pill box cavities resulting in the permeability values given by a first-order Debye model for the tiled absorber structure and an equivalent permeability value for computer simulations with solid ring dampers. Measured and simulated results for the higher-order modes in the prototype copper cavity are discussed. First room-temperature measurements of the finished niobium cavity are presented which confirm the effective damping of higher-order modes in the ERL. by the ferrite absorbers.

Hahn,H.; Choi, E.M.; Hammons, L.

2008-10-01

427

Absorber Materials at Room and Cryogenic Temperatures  

SciTech Connect

We recently reported on investigations of RF absorber materials at cryogenic temperatures conducted at Jefferson Laboratory (JLab). The work was initiated to find a replacement material for the 2 Kelvin low power waveguide Higher Order Mode (HOM) absorbers employed within the original cavity cryomodules of the Continuous Electron Beam Accelerator Facility (CEBAF). This effort eventually led to suitable candidates as reported in this paper. Furthermore, though constrained by small funds for labor and resources, we have analyzed a variety of lossy ceramic materials, several of which could be usable as HOM absorbers for both normal conducting and superconducting RF structures, e.g. as loads in cavity waveguides and beam tubes either at room or cryogenic temperatures and, depending on cooling measures, low to high operational power levels.

F. Marhauser, T.S. Elliott, A.T. Wu, E.P. Chojnacki, E. Savrun

2011-09-01

428

40Ar/ 39Ar mineral age constraints for the tectonothermal evolution of a Variscan suture in southwest Iberia  

NASA Astrophysics Data System (ADS)

Dallmeyer, R.D., Fonseca, P.E., Quesada, C. and Ribeiro, A., 1993. 40Ar/ 39Ar mineral age constraints for the tectonothermal evolution of a Variscan suture in southwest Iberia. Tectonophysics, 222: 177-194. Mafic units interpreted to represent an internally disrupted ophiolite succession are exposed along a Variscan suture situated between the South Portuguese and Ossa-Morena zones in southern Iberia. Structural characteristics of various units adjacent to the suture zone suggest maintainence of an oblique (transpressional), sinistral tectonic regime during late Paleozoic plate convergence. This involved initial, limited, north-directed subduction beneath the Ossa-Morena zone, and was followed by oblique collision of the South Portuguese Terrane. Metamorphic evolution of rocks adjacent to the suture occurred during maintainence of a moderately high geothermal regime. Five samples of amphibolite were collected within the hanging wall of the suture. These included samples from the ophiolitic terrane and from the Ossa-Morena zone. Two samples were also collected within the post-kinematic Beja Gabbro which intruded the other two tectonic units following their structural juxtaposition and penetrative ductile deformation. Hornblende concentrates from these seven samples record well-defined 40Ar/ 39Ar plateau ages which range between c. 342 and 335 Ma. These results imply that the regional tectonostratigraphic units were maintained at moderate crustal levels until the Visean, and that their juxtaposition and internal ductile deformation occurred in the late Devonian. Subsequent cooling was probably effected by transpressional uplift during oblique collision following closure of intervening oceanic elements.

Dallmeyer, R. D.; Fonseca, P. E.; Quesada, C.; Ribeiro, A.

1993-06-01

429

Mapping Precambrian structures in the Sahara Desert with SIR-C/X-SAR radar: The Neoproterozoic Keraf Suture, NE Sudan  

NASA Astrophysics Data System (ADS)

A major N-trending Neoproterozoic suture between composite arc terranes of the Arabian-Nubian Shield in the east and older crust of the Nile Craton to the west is inferred to trend N-S close to the Nile in northern Sudan. We used shuttle imaging radar (SIR) C/X synthetic aperture radar (SAR) imagery to find and map these structures in the poorly known Keraf Suture which are not apparent on visible or near IR imagery due to extensive sand cover. L band (23 cm wavelength) radar images best resolve geologic structure; the other frequencies of the SIR-C/X-SAR system (X and C bands) permit qualitative evaluation of the effects of surface versus subsurface backscattering. Interpretation of L band images supported by field work indicates that the Keraf Suture is ~50 km wide and >550 km long, making it the longest basement structure recognized to date in NE Africa. The northern part of the Suture comprises ophiolitic rocks which were thrust westward over tightly folded sediments of the Nile Craton. The southern Keraf Suture is dominated by N- and NNW-trending, left-lateral strike-slip faults that affect previously deformed passive margin sediments. Associated with these faults are NE-trending transpressional folds and a possible transtensional basin. These structures are interpreted to be due to NW-SE oblique collision between the Arabian-Nubian Shield and the Nile Craton, as east and west Gondwana collided in the last 150 m.y. of Neoproterozoic time.

Abdelsalam, Mohamed G.; Stern, Robert J.

1996-10-01

430

Video-Based Skill Assessment of Endoscopic Suturing in a Pediatric Chest Model and a Box Trainer.  

PubMed

Abstract Purpose: Pediatric endoscopic surgery requires special surgical skills because of the small working space and tissue fragility. This article presents a video-based skill assessment method for endoscopic suturing using a pediatric chest model. Materials and Methods: A commercial suture pad was placed in a rapid-prototyped pediatric chest model of a 1-year-old patient to simulate the thoracoscopic repair of esophageal atresia type C. Twenty-eight pediatric surgeons (9 experts, 9 intermediates, and 10 trainees) performed an endoscopic intracorporeal suturing and knot-tying task both in the pediatric chest model and in a box trainer. The tasks were video-recorded and rated by two blinded observers using the 29-point checklist method and a suturing errors score sheet method. The task completion time and the number of needle manipulations were measured. Results: The expert group showed better performance than the intermediate and trainee groups in the pediatric chest model, and the differences were larger than those in the box trainer. Significant differences between the expert and the trainee groups were observed in the items related to safety such as the skills for keeping the needle in view at all times. Significant differences between the expert and intermediate groups were observed in the items related to task quality and efficiency such as the smoothness of knot tying and the number of needle manipulations. Conclusions: Video-based skill assessment of endoscopic suturing using the pediatric chest model and a box trainer distinguished pediatric endoscopic surgeons according to their clinical experience, and pediatric-specific skills were identified. PMID:25423170

Takazawa, Shinya; Ishimaru, Tetsuya; Harada, Kanako; Tsukuda, Yusuke; Sugita, Naohiko; Mitsuishi, Mamoru; Iwanaka, Tadashi

2014-11-25

431

Multicenter Study of Neurodevelopment in 3-Year-Old Children With and Without Single-Suture Craniosynostosis  

PubMed Central

Objective To evaluate the hypothesis that 3-year-old children with single-suture craniosynostosis would receive lower neurodevelopmental scores than a comparable group of children born with patent sutures. Design Longitudinal comparison study. Setting Five tertiary care craniofacial centers. Participants Patients with craniosynostosis (cases) and a comparison group of children without craniosynostosis (controls). Patients diagnosed with single-suture craniosynostosis from 2002 to 2006 were eligible as cases. Controls were frequency-matched to cases on age, sex, race, socioeconomic status, and study site. Main Exposure Craniosynostosis. Main Outcome Measures We administered the Bayley Scales of Infant Development, Second Edition, mental and motor development indices and the Preschool Language Scales, Third Edition, receptive and expressive communication scales. Children were evaluated at baseline (before surgery in cases and at a similar age in controls) and at 18 and 36 months of age. We compared the groups’ performances at 36 months by fitting adjusted linear and logistic regression models. We also estimated adjusted associations between age at surgery and neurodevelopmental scores. Results Adjusted mean case deficits ranged from 3 to 6 points (P ?.008 for all comparisons). Compared with controls, the odds of cases being delayed ranged from 1.5 to 2.0, depending on the neurodevelopmental scale (P values ranged from .03 to .09). Cases’ ages at craniosynostosis repair were not strongly related to neurodevelopmental performance. Conclusions In this large, carefully controlled, multi-center study, we observed consistently lower mean neurodevelopmental scores in children with single-suture craniosynostosis compared with controls. These results provide further support for neurodevelopmental screening in young children with single-suture craniosynostosis. PMID:22312170

Starr, Jacqueline R.; Collett, Brent R.; Gaither, Rebecca; Kapp-Simon, Kathleen A.; Cradock, Mary Michaeleen; Cunningham, Michael L.; Speltz, Matthew L.

2012-01-01

432

Notes 10. The dynamic vibration absorber  

E-print Network

] Luis San Andres (c) 2008 MEEN 363 - 617 THE VIBRATION ABSORBER Preamble - A NEED arises: Consider the periodic forced response of a primary system (Kp-Mp) defined by X p (t) K p F(t) M P M p 10 3 lb?:= K p 110 5 ? lbf in ?:= Its natural frequency is... then determines that the stiffness and mass of the secondary system should be such that: TUNED ABSORBER ? X ? np = also known as a For example, if zero amplitude vibration is desired for excitations at the natural frequency of the original system, the designer...

San Andres, Luis

2008-01-01

433

Durability of Polymeric Glazing and Absorber Materials  

SciTech Connect

The Solar Heating and Lighting Program has set the goal of reducing the cost of solar water heating systems by at least 50%. An attractive approach to such large cost reduction is to replace glass and metal parts with less-expensive, lighter-weight, more-integrated polymeric components. The key challenge with polymers is to maintain performance and assure requisite durability for extended lifetimes. We have begun evaluation of several new UV-screened polycarbonate sheet glazing constructions. This has involved interactions with several major polymer industry companies to obtain improved candidate samples. Proposed absorber materials were tested for UV resistance, and appear adequate for unglazed ICS absorbers.

Jorgensen, G.; Terwilliger, K.; Bingham, C.; Lindquist, C.; Milbourne, M.

2005-11-01

434

Coherent perfect absorber based on metamaterials  

NASA Astrophysics Data System (ADS)

We demonstrate selective coherent perfect absorption based on interaction between bilayered asymmetrically split rings (ASRs) metamaterials and a standing wave formed by two coherent counter propagating beams. The selective coherent perfect absorbers with high absorption have been achieved depending on the phase difference between two coherent beams. The selective coherent control absorbers can be well designed by changing the thickness of the dielectric layer and the asymmetry of the ASRs. The coherently controlled metamaterials provide an opportunity to realize selective multiband absorption and ultrafast information processing.

Nie, Guangyu; Shi, Quanchao; Zhu, Zheng; Shi, Jinhui

2014-11-01

435

Effect on source signal condition for pyramidal microwave absorber performance  

Microsoft Academic Search

In designing a microwave absorber for anechoic chamber, there are many condition can affect the performance of microwave absorber. In this work, four conditions are discussed to compare the reflectivity or S11 of the pyramidal microwave absorber. The conditions are different signal source position, areas, angle, and lastly the distance between signal source and pyramidal microwave absorber. These pyramidal microwave

H. Nornikman; F. Malek; P. J. Soh; A. A. H. Azremi

2010-01-01

436

Influence of Absorbers on the Electromagnetic Radiation  

E-print Network

The phenomenon of the electromagnetic absorption by arbitrarily distributed discrete absorbers is analyzed from the photon point of view. It is shown that apart from the decrease in the intensity of the signal the net effect of absorption includes a relative increase in the photon bunching.

Neil V. Budko

2007-12-05

437

Uncovering the Weakest Absorbers in AGN Spectra  

NASA Astrophysics Data System (ADS)

The exquisite far-UV sensitivity of the Cosmic Origins Spectrograph has yielded moderate-resolution AGN spectra of unprecedented quality with signal to noise ratios (S/N) of 50 per resolution element in some cases. This high data quality allows us to detect some of the weakest (W 10 mÅ) absorption features ever found in far-UV spectra including weak photoionized Ly? forest absorbers at column densities N > 1012 cm-2 that may trace significant numbers of baryons in the form of ionized hydrogen, weak broad HI absorbers with b > 40 km/s that potentially trace warm collisionally ionized gas, and weak metal-line counterparts to Ly? absorbers in the intergalactic medium. However, accurately identifying and measuring weak astrophysical absorbers requires detailed knowledge of the spectrograph detectors and the latest in flat-fielding techniques. We present the results of both interactive and automated line searches in several of the highest-quality (S/N=30-50) extragalactic COS datasets taken to date. We catalog weak narrow lines, broad absorption features, and comment on the applicability of these techniques to the larger catalog of COS observations with more modest S/N.

Danforth, Charles; Stocke, J. T.; Shull, J. M.; Pieri, M.; Savage, B.; France, K.; Penton, S.; Keeney, B.

2011-01-01

438

Aldehyde-containing urea-absorbing polysaccharides  

NASA Technical Reports Server (NTRS)

A novel aldehyde containing polymer (ACP) is prepared by reaction of a polysaccharide with periodate to introduce aldehyde groups onto the C2 - C3 carbon atoms. By introduction of ether and ester groups onto the pendant primary hydroxyl solubility characteristics are modified. The ACP is utilized to absorb nitrogen bases such as urea in vitro or in vivo.

Mueller, W. A.; Hsu, G. C.; Marsh, H. E., Jr. (inventors)

1977-01-01

439

Tuned mass absorber on a flexible structure  

NASA Astrophysics Data System (ADS)

The classic design of a tuned mass absorber is based on a simple two-mass analogy in which the tuned mass is connected to the structural mass with a spring and a viscous damper. In a flexible multi-degree-of-freedom structure the tuned mass absorber is typically introduced to provide damping of a specific mode. The motion of the point of attachment of the tuned mass absorber to the structure has not only a contribution from the targeted mode, but also a background contribution from other non-resonant modes. Similarly, the force provided by the tuned mass absorber is distributed between the targeted mode and the background modes. It is demonstrated how this effect can be included via a non-dimensional dynamic background flexibility coefficient, extracted from a classic modal analysis for the particular frequency of the selected mode. An explicit calibration procedure is developed starting with the desired maximum amplification, from which the device damper, mass and stiffness are determined, accounting for the background flexibility. Examples demonstrate the influence of the flexibility effect and the efficiency of the proposed procedure.

Krenk, Steen; Høgsberg, Jan

2014-03-01

440

Do Different Colors Absorb Heat Better?  

NSDL National Science Digital Library

Students test whether the color of a material affects how much heat it absorbs. They leave ice cubes placed in boxes made of colored paper (one box per color; white, yellow, red and black) in the sun, and predict in which colored box ice cubes melt first. They record the order and time required for the ice cubes to melt.

2014-09-18

441

Composition for absorbing hydrogen from gas mixtures  

DOEpatents

A hydrogen storage composition is provided which defines a physical sol-gel matrix having an average pore size of less than 3.5 angstroms which effectively excludes gaseous metal hydride poisons while permitting hydrogen gas to enter. The composition is useful for separating hydrogen gas from diverse gas streams which may have contaminants that would otherwise render the hydrogen absorbing material inactive.

Heung, Leung K. (Aiken, SC); Wicks, George G. (Aiken, SC); Lee, Myung W. (Aiken, SC)

1999-01-01

442

Development of a crash energy absorber  

E-print Network

A new energy absorbing cartridge, named the "Z-tube" was developed for use in a new conceptualized highway safety appurtenance. The Z-tube was developed to provide a low cost method of dissipating the kinetic energy of errant motor vehicles. The Z...

Bullard, Delbert Lance

1995-01-01

443

Observational Tests for Warm Absorber Hydro Models  

Microsoft Academic Search

Warm absorber spectra are characterized by the many lines from partially ionized intermediate-Z elements, and iron, detected with the grating instruments on Chandra and XMM-Newton. If these ions are formed in a gas which is in photoionization equilibrium, they correspond to a broad range of ionization parameters, although there is evidence for certain preferred values. A test for any dynamical

Timothy R. Kallman; A. Dorodnitsyn

2010-01-01

444

Shock absorber protects motive components against overloads  

NASA Technical Reports Server (NTRS)

Shock absorber with an output shaft, hollow gear, and a pair of springs forming a resilient driving connection between shaft and gear, operates when abnormally high torques are applied. This simple durable frictional device is valuable in rotating mechanisms subject to sudden overloads.

1965-01-01

445

Adult hernia surgery in Wales revisited: impact of the guidelines of The Royal College of Surgeons of England.  

PubMed Central

This study investigated the impact of the guidelines of The Royal College of Surgeons of England on the practice of hernia surgery in Wales. This was assessed by means of a postal survey to all consultant general surgeons in Wales in 1996-1997. The areas covered were: awareness of the guidelines of The Royal College of Surgeons of England and the impact of such guidelines on their practice, attendance at hernia courses, operative technique, materials used for repair and skin suture, proportion of day case hernias, length of inpatient stay, thromboembolic (TE) prophylaxis and postoperative advice to patients with regard to light work, heavy work and sport. In all, 79 replies were received (85%). Almost all the surgeons had read the guidelines; this changed the practice of 20% of respondents but did not in 32%. A further 48% did not answer the question. In contrast with our 1993 survey results, in Wales there is now a uniform surgical management of adult inguinal hernias: the most common operation is the Liechtenstein, with monofilament non-absorbable suture to secure the mesh, followed by the Shouldice repair. The Bassini and inguinal darn operations are becoming much less common and none now uses braided or absorbable sutures for the repair. Skin closure is still rather variable, with only 58% of respondents adhering to the recommended absorbable subcuticular suture. Postoperative advice is now uniform and in accordance with the guidelines. A trend towards more TE prophylaxis and more day case hernia surgery is also seen. PMID:9849333

Ciampolini, J.; Boyce, D. E.; Shandall, A. A.

1998-01-01

446

Absorbed fractions for electrons in ellipsoidal volumes  

NASA Astrophysics Data System (ADS)

We applied a Monte Carlo simulation in Geant4 in order to calculate the absorbed fractions for monoenergetic electrons in the energy interval between 10 keV and 2 MeV, uniformly distributed in ellipsoids made from soft tissue. For each volume, we simulated a spherical shape, four oblate and four prolate ellipsoids, and one scalene shape. For each energy and for every geometrical configuration, an analytical relationship between the absorbed fraction and a 'generalized radius' was found, and the dependence of the fit parameters from electron energy is discussed and fitted by proper parametric functions. With the proposed formulation, the absorbed fraction for electrons in the 10-2000 keV energy range can be calculated for all volumes and for every ellipsoidal shape of practical interest. This method can be directly applied to evaluation of the absorbed fraction from the radionuclide emission of monoenergetic electrons, such as Auger or conversion electrons. The average deposited energy per disintegration in the case of extended beta spectra can be evaluated through integration. Two examples of application to a pure beta emitter such as 90Y and to 131I, whose emission include monoenergetic and beta electrons plus gamma photons, are presented. This approach represent a generalization of our previous studies, allowing a comprehensive treatment of absorbed fractions from electron and photon sources uniformly distributed in ellipsoidal volumes of any ellipticity and volume, in the whole range of practical interest for internal dosimetry in nuclear medicine applications, as well as in radiological protection estimations of doses from an internal contamination.

Amato, E.; Lizio, D.; Baldari, S.

2011-01-01

447

Imaging of Damped Ly-alpha Absorbers  

NASA Astrophysics Data System (ADS)

Intervening H I gas clouds toward QSOs give rise to damped Ly-alpha absorption. Because of the high column density (N(H I)>= 2*E(20) cm(-2) ) these systems have been thought to be galactic disks in some stage of formation. However, because potential optical counterparts have not been identified for most damped Ly-alpha systems, it is possible that some of the absorbing systems could be dwarf irregular galaxies or low surface brightness galaxies, and are thus difficult to image. In any case, the absorbers are expected to have small angular separation from the QSOs, and so high resolution imaging is required to differentiate the absorbers from the QSOs. Because previous studies have not shown any dominant morphological form for the few candidate objects known, our images are obtained with the Hawaii tip-tilt system in order to achieve the best possible morphological classification. By imaging in the NIR and optical bands that bracket the 4000 Angstroms break of these Ly-alpha absorbers, we can more readily select candidate objects by photometrically constraining their redshifts. In our sample of 14 QSOs with abosorbers from 1absorbers (Kolhatkar et al.)

Jim, K. T. C.; Roth, K. C.

1998-05-01

448

Neutron absorbers and methods of forming at least a portion of a neutron absorber  

DOEpatents

Methods of forming at least a portion of a neutron absorber include combining a first material and a second material to form a compound, reducing the compound into a plurality of particles, mixing the plurality of particles with a third material, and pressing the mixture of the plurality of particles and the third material. One or more components of neutron absorbers may be formed by such methods. Neutron