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41.
《The Journal of arthroplasty》2021,36(9):3141-3147
BackgroundThe 2-octyl cyanoacrylate topical adhesive with flexible self-adhesive polyester mesh (Dermabond Prineo) is becoming widely used in many surgical fields. However, no prior studies have tested the efficacy and safety of this topical adhesive compared with subcuticular suture in the same patient. The purpose of this study was to compare the efficacy and safety between Dermabond Prineo and subcuticular suture for skin closure in patients undergoing same-day bilateral total knee arthroplasties (TKAs).Materials and MethodsA prospective, double-blind randomized controlled trial was performed in 51 patients scheduled to undergo same-day bilateral TKAs. One knee was randomly assigned to the Dermabond Prineo and the other knee was allocated to the subcuticular suture. As primary outcomes, Vancouver scar scale was evaluated at 6 months and Patient and Observer Scar Assessment Scale was evaluated at 2 weeks, 6 weeks, 3 months, and 6 months. Secondary outcomes included cosmesis efficacy (Hollander wound evaluation scale [HWES] and cosmesis visual analog scale [VAS]), time and pain efficiency (skin suture time, stitch out time, and stitch out pain VAS), and safety (wound complications during the 6-month follow-up period). The primary and secondary outcome measures were compared between groups.ResultsThere were no significant differences in Vancouver scar scale and Patient and Observer Scar Assessment Scale at 6 months. Although there were no significant differences in HWES at 2 weeks, the Dermabond Prineo group showed better step-off border item of HWES. There was also no difference in cosmesis VAS at 6 months. The Dermabond Prineo group showed superior results in terms of time (suture time: Dermabond Prineo = 191 second (sec) ± 60.1 sec, subcuticular suture = 356.8 sec ± 92.3 sec; stitch out time: Dermabond Prineo = 4 sec ± 1.3 sec, subcuticular suture = 26.6 sec ± 4.2 sec, all P < .001) without significant differences in pain scale (P = .823) or wound complications (all P > .05).ConclusionComparing cosmetic efficacy, time efficiency, and safety, Dermabond Prineo provided quicker wound closure, shorter stitch out time, and better wound margin coaptation in the early postoperative period but similar cosmetic efficacy compared with subcuticular suture. Based on our study, Dermabond Prineo is a useful alternative to subcuticular suture in patients undergoing TKA.Level of EvidenceTherapeutic level 1. 相似文献
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IntroductionRecurrence in ventral hernia after laparoscopic repair is less as compared to conventional approach. Mobile caecum as a content of ventral hernia is a very rare entity. Standard treatment for mobile cecum is caecopexy using lateral peritoneal flap.Case reportA 40-year-old obese female, homemaker by occupation with a history of incisional hernia 2 year back and treated with intraperitoneal on lay mesh repair presented with swelling in the left lower abdomen for past 6 months. Radiological investigations revealed defect in left lower anterior abdominal wall with protruding bowel loops. Urgent exploratory Laparotomy revealed mobile segment of ileocecal junction in the hernial sac cavity. Caecopexy for the mobile caecum was done.DiscussionMobile caecum is due to embryological failure of fusion of right colonic mesentery with lateral peritoneal wall. Pre-operative diagnosis of mobile caecum is difficult to establish unless it presents as caecal volvulus Caecopexy using the lateral peritoneal flap is the standard of care.ConclusionMobile caecum can surprise the attending surgeon as a content of ventral hernia. Caecopexy using lateral peritoneal flap is the treatment of choice in all with a mobile caecum. 相似文献
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Iwabuchi Satoru Handa Masashi Usuda Katsuo Sato Masami Kondo Takashi Tanita Tatsuo Fujimura Shigefumi 《Surgery today》1994,24(11):1014-1018
A 52-year-old Japanese man with a slow-growing chondroma originating from the sternal bone was referred to our hospital. A subtotal resection of the sternum was performed, hereafter termed the sandwich method, and an originally designed prosthesis made from ultra-high-molecular-weight polyethylene and Marlex mesh was used for reconstruction. The postoperative course was uneventful without any symptoms due to paradoxical movement of the chest or regional abscess, and no disturbance in the movement of the upper limbs, such as a surgical sequelae, was observed. 相似文献
46.
将聚丙烯和石蜡油的混合物熔融挤出,使之在较高的应力场下冷却和相分离,得到了弹性聚丙烯中空纤维。这种部分结晶的弹性纤维可能具有平行排列的片晶结构,石蜡油存在于片晶之间。将石蜡油提取掉后稍加拉伸即可得到透气性很好的微孔中空纤维渗透膜。 相似文献
47.
采用动态力学试验方法,研究了不同EPDM含量的动态硫化和简单共混两种PP/EPDM材料动态力学响应的差异及其特征。结果显示:与简单共混PP/EPDM相比,动态硫化PP/EPDM具有ΔTg小,内耗峰扩宽程度大,低温和室温内耗峰强度高,所处温度低,60-70℃时内耗峰强度发生高低变位,在EPDM相的α转变以下还显示β和γ次级转变等特性。 相似文献
48.
Andrew P. Cheung Yali F. Hallock B. Rao Vishnuvajjala Thuylinh Nguyenle Euphemia Wang 《Investigational new drugs》1999,16(3):227-236
Bryostatin 1 is currently in phase II clinical trial sponsored by the National Cancer Institute as an anticancer chemotherapeutic agent. Bryostatin 1 for injection was supplied in a dual pack containing a drug vial and a diluent vial and was manufactured by Ben Venue Laboratories, Inc (Bedford, OH). The stability and compatibility of the bryostatin 1-PET formulation, diluted to 1 and 10 ug/mL in saline and benzyl alcohol preserved saline, with polypropylene (PP) and polyvinyl chloride (PVC) bags at room temperature (27°C) were studied. All experiments were conducted in triplicate and analyses were performed using a validated, stability-indicating, high performance liquid chromatography (HPLC) assay.Bryostatin 1 solutions were compatible with PP bags. At both concentrations and with both salines, the bryostatin content remained unchanged during the 28-day storage period, benzyl alcohol concentration in the preserved saline solutions also remained relatively constant. In PVC bags, however, a decrease in bryostatin 1 concentrations without generation of decomposition products was observed at both dilutions and with both salines during the 28-day storage. A decrease in benzyl alcohol concentration in the preserved saline was also observed. While no diethylhexylphthalate (DEHP) leakage into the solution was observed in PP bags, DEHP leakage in PVC infusion bags was observed on day 2 of storage which increased with storage time and leveled off on day 6. The amount of DEHP leached into drug solution is dependent on the drug concentration. This study suggests bryostatin-PET formulation diluted with preserved saline can be used for long-term (4 week) intravenous administration using PP infusion bags, but not with PVC bags. 相似文献
49.
Erosion of Marlex Mesh Collar after Vertical Banded Gastroplasty 总被引:1,自引:0,他引:1
Marlex mesh, as opposed to silastic ring, when used as a collar in the bariatric procedure of vertical banded gastroplasty,
has been reported rarely to erode into the gastric lumen. We report two cases of such an erosion, of which one ended as a
complete internalization of the collar into the stomach. In one of the patients we observed a wider than expected portion
of tissue that had been encircled by the collar, which might have caused a local inflammatory reaction leading to the later
erosion. 相似文献
50.
Abstract: We made an artificial skin comprised of a stratified layer of keratinocytes and a dermal matrix with a type I collagen containing fibroblasts. In this work, we showed keratinocyte behavior under primary culture, gel contractions varying with concentration of collagen solution, and cell growth plots in the collagen gel. The optimum behavior of dermal equivalent could be obtained using 3.0 mg/ml collagen solution and attached gel culture. The attached gel culture had a jumping effect of growth factor on cell growth at the lag phase. To develop the artificial skin, 1× 105 cells/cm2 of keratinocytes were cultured on the dermal equivalent at air-liquid interface. Finally, to overcome the problem that artificial skin of collagen gel was torn easily during suturing of grafting, we prepared histocompatible collagen mesh and attached the mesh to the bottom of the gel. Cultured artificial skins were successfully grafted onto rats. 相似文献