Sutures
They consist of threads or filaments, natural or synthetic, that are used to stitch together tissue.
Sutures play a crucial role in wound management, promoting healing and minimizing the risk of infection or complications.
Researchers and clinicinas must carefully select the most effective suture techniques to optimize patient outcomes.
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Most cited protocols related to «Sutures»
The general venation schema for planthoppers is here provided based on a fulgoromorphan ground plan slightly modified from the one proposed by Shcherbakov (1996 ). Terminology is completed according to Bourgoin (1997 ) who recommended the use of areas (nodal cells, major vein areas) for the interpretation of veins and updated from Bourgoin and Szwedo (2008 ) and Szwedo and Żyła (2009 ), including the recent proposal of the CuA zigzag vein (=arculus auctorum, Emeljanov 1987 ) as autapomorphic for Paraneoptera (Nel et al. 2012 (link)).
The standardized terminology proposed is built upon the various major vein nomenclature systems used and upon homology-driven morphological interpretations concerning both extant and extinct taxa samples according to all major authors in these topics (Metcalf 1913 (link); Muir 1913 , 1923 ; Melichar 1923 ; Fennah 1944 ; Hamilton 1972 ; Emeljanov 1977 , 1987 ; Shcherbakov 1981 , 1996 ; Zelazny 1981 ; Kukalová-Peck 1983 (link); Chou et al. 1985 ; Anufriev and Emeljanov 1988 ; Dworakowska 1988 ; Bourgoin 1997 ; Zelazny and Webb 2011 ; Ding 2006 ; Nel et al. 2012 (link), 2013 (link); Gnezdilov 2013 (link)).
A corresponding terminology between these major systems is proposed (Table
Corresponding terminologies between main vein system interpretations since Metcalf (1913 (link)), with the recommended standardized one (in bold)
Metcalf (1913 (link)) | C | Sc + R + M | Sc + R | Sc (two branches) | R | M (typically 4 branched) | Cu | A1 | A2 | A3 | A3 s branch | ||
Melichar (1923 ) | Costal vein | Subcostal vein | Radius 1 | Radius 2 | Median vein | Cubitus | Clavus suture | Claval vein external branch | Claval vein internal branch | Scutellar + clavus sutural margins | |||
Fennah (1944 ) | C | Sc + R + M | Sc + R | Sc | R1, Rs | MP | Cu1 | Cu2 | Pcu | A1 | A2 | ||
Hamilton (1972 ) | C | Sc | S + M | S | SA | SP | M (forks first in MA and MP) | Cu | P + E | 1A | 2A | Margin | |
Emeljanov (1977 ) | C | Sc | S + M | Sc + R | R1Sc + R2 | R3 | M | CuA | CuP | Pcu | A1 | A2 | |
Shcherbakov (1981 ) | C | Sc + R + M | (Sc +) R | R1 | R1a | Rs | M | CuA | CuP | Pcu | A1 | A2 | |
Chou et al. (1985 ) | C | Sc | R + M | R | M | Cu | Clavus suture | A | A | Margin | |||
Dworakowska (1988 ) | CA | Pc + CP | ScP + R + M | ScP + R + MA | ScP + RA | RA | RP + MA | MP | CuA | CuP | AA | AP’ | AP” |
Ding (2006 ) | C | Sc + R + M | Sc + R | Sc | Sc2 | R1 | M (‘Rs, M1, M2, M3′ = M1, M2, M3, M4) | Cu1 (‘Cu1a’ = CuA1) | Cu2 | IA | IIA | Margin | |
The Division of General Surgery in our university hospital consists of the following teams and specializations: colorectal surgery, hepatobiliary surgery, endocrine surgery, upper gastrointestinal (GI) surgery (esophageal and stomach surgery), bariatric surgery, breast surgery, and pancreatic surgery.
The patient data were extracted by reviewing all discharge letters from that period taken from the digital archives.
Overall, 517 patients were admitted over this period, some repeatedly, leading to a total of 817 admissions. These 517 patients underwent 463 operations. The complications of these operations were then rated according to the Clavien-Dindo classification (Table
Clavien-Dindo classification
Grade | Definition |
---|---|
Grade I | Any deviation from the normal postoperative course without the need for pharmacological treatment, or surgical, endoscopic, and radiological interventions. |
Grade II | Requiring pharmacological treatment with drugs other than such allowed for grade I complications. |
Grade III | Requiring surgical, endoscopic, or radiological intervention |
Grade IIIa | Intervention not under general anesthesia |
Grade IIIb | Intervention under general anesthesia |
Grade IV | Life-threatening complication (including central nervous system complications) requiring IC/ICU management |
Grade IVa | Single organ dysfunction (including dialysis) |
Grade IVb | Multiorgan dysfunction |
Grade V | Death of a patient |
According to Dindo et al. [6 (link)]
IC intermediate care, ICU intensive care unit
Operation groups (complexity according to the Austrian Chamber of Physicians)
Operation group | Examples |
---|---|
I | Abscess incisions, secondary sutures, proctoscopy, skin biopsy |
II | Excisions of atheromas, fibromas, lipomas, incisions of anal abscesses |
III | Toe amputation, small lymph node extirpation, thoracic drainage, colonoscopy |
IV | Tracheotomy, appendectomy, hernia operation, colostomy, gastrostomy, ERCP |
V | Gastroenterostomy, interventions for recurrent hernia, Cimino fistula, radical varicose vein stripping |
VI | Strumectomy, cholecystectomy, splenectomy, hemicolectomy, reduction mammoplasty |
VII | Partial pancreatectomy, subtotal colectomy, subsegmental and large liver resections |
VIII | Esophageal resection, open surgery of aortic aneurysms, organ transplantation |
Most recents protocols related to «Sutures»
Example 4
In operation, the medical device (1) may be tethered to the surrounding tissue, such as connective tissue or muscle to prevent an undesired shifting of the medical device (1). A suture (56) may be attached to the balloon (5) and the membrane-covered port (55) or to a projecting tab (57) and tied to the surrounding tissue.
Example 6
Example 10