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Spearheading Advancements in Surgical Sealants

Surgeons and clinicians have used surgical sealants for closing or reconnecting ruptured tissues, or as an adjunct to sutures and staples, for years. However, advancements in technology have led general surgeons and specialists to consider sealants for a wider range of applications and with increased frequency. Increasing Ease of Use Surgical sealants aren't as easy to use as a tube of Crazy Glue. Surgeons must mix and use some agents precisely and promptly to be effective. Delivery systems vary from a syringe, proprietary applicator, or through an endoscope. Most require special training. Sylys®, an elastic, resorbable, synthetic sealant developed by Cohera Medical, requires no mixing. The single-part sealant uses a chemistry that produces rapid curing initiated by contact with tissue moisture. Its custom applicator allows surgeons to use the product in either open or laparoscopic procedures. "We wanted doctors to be doctors, not engineers," said Cohera president and CEO Patrick Daly. "We wanted to create a great product that's easy to use and straightforward to apply." Cohera designed Sylys to help reduce anastomotic leakage in gastrointestinal surgical procedures. Used in conjunction with sutures or staples, Sylys supports anastomosis during the first few days post-surgery—a time when patients run the highest risk of bowel leakage. Daly said the sealant, in preclinical studies, reduced leakage by nearly 60 percent. "A bowel leak...
Source: MDDI - Category: Medical Devices Authors: Tags: Implants Source Type: news

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This study aimed to assess the usage and quality of pre-made hernia-specific consent forms (PCF) in the UK.MethodsA freedom of information request was sent to all UK NHS Trusts asking: (1) does the trust perform IHRs; (2) do they have a PCF; and (3) to send a copy. Complications lists on received forms were reviewed and compared to those listed on the British Hernia Society (BHS) “patient information” webpage.Results157/185 Trusts (85%) responded. 117/157 (75%) perform IHRs; 16/117 (14%) use PCFs. The number of reported risks was variable (range 4 –18), as was the content of each form (28 different risks ...
Source: Hernia - Category: Sports Medicine Source Type: research
Laparoscopic sleeve gastrectomy (LSG) is gaining popularity for the treatment of morbid obesity. It is regarded as a simple, low-cost procedure achieving significant weight loss within a short period of time. LSG is considered a safe procedure with a relatively low complication rate. The complications encountered nevertheless can result in significant morbidity and may even be lethal. The most significant complications are staple-line bleeding, stricture, and staple-line leak. The purpose of this paper is to present a case of a 31-year-old patient complicated by a 3.06 cm staple-line leak 10 days after LSG. Review of the c...
Source: Case Reports in Gastroenterology - Category: Gastroenterology Source Type: research
Conclusions The combined approach provides a procedure with the criteria of minimal invasiveness, nephron sparing, little bleeding and reduced warm ischemia time.
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Conclusion Single-incision laparoscopic hysterectomy for a uterus larger than 20 cm is possible and leads to better outcomes.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsThe SRCV is the main cause of tension in the extraction of the surgical specimen after right hemicolectomy. Its high tie increases the length of the ATC exteriorization, in about 3  cm, and could reduce the risk of SMV bleeding during laparoscopic right hemicolectomy and facilitate an extracorporeal anastomosis free of tension.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
To present the outcomes of laparoscopic colorectal surgery in colorectal cancer patients with a previous history of abdominal surgery. Data of a total of 121 patients with primary colorectal cancer who underwent laparoscopic surgery were retrospectively analyzed. The patients were divided into 2 groups as those with previous abdominal surgery (PAS, n=34) and those without (non-PAS, n=87). Gastric and colonic surgeries were the most common procedures in the major PAS group, whereas gynecologic and obstetric surgeries and appendectomy were the most common procedures in the minor PAS group. However, there were statistically s...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Original Articles Source Type: research
Abstract INTRODUCTION: Several indications of cecal wedge resection can be found in the literature, but the most common ones are acute appendicitis, appendiceal mucocele and selected cecal polyps. PURPOSE: We summarize the indications, review the results of laparoscopic cecal wedge resections carried out in our department from 01.01.2010 till 31.12.2016. A case report is presented when cecal resection was carried out for a cecal polyp. PATIENTS: Between 01.01.2010 and 31.12.2016, 56 patients underwent a laparoscopic cecal wedge resection. The mean age was 42 years (14-83), 28 males and 28 females. In 46 ...
Source: Magyar Sebeszet - Category: Surgery Authors: Tags: Magy Seb Source Type: research
A 43-year-old woman presented with a 5-month history of a recurrent bleeding lesion in the umbilical cicatrix. She reported that the lesion was bleeding and that she experienced pain 6  days per month, coinciding with her menstrual cycle. She had undergone laparoscopy due to endometriosis 8 years prior. In addition, she visited the Emergency Department 2 months prior to presentation and was diagnosed with an umbilical hernia. Physical examination revealed an erythematous, painl ess nodule, without spontaneous bleeding, in the umbilical scar (Figures 1 and 2).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research
AbstractThe indwelling urinary catheter (UC) is a significant bother for men after radical prostatectomy (RP) and should be removed as soon as possible without jeopardizing the outcome. Our aim was to assess the feasibility and safety of its removal on postoperative day (POD) 2 after robot-assisted laparoscopic RP (RALP). A consecutive series of patients undergoing RALP for localized prostate cancer (PCa) were prospectively enrolled. Inclusion criteria were: no bladder-neck reconstruction, watertight urethrovesical anastomosis at 150  ml filling, ≤ 200 ml of intraoperative bleeding, ≤ 80 ml o...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
CONCLUSION: Except from increased operation time, intraoperative blood loss, and length of hospital stay, conversion from laparoscopic gastrectomy to open gastrectomy had no impact on postoperative complications and long-term outcomes of patients with gastric cancer. PMID: 29155522 [PubMed - in process]
Source: Journal of B.U.ON. - Category: Cancer & Oncology Tags: J BUON Source Type: research
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