[Bronchoplasty with special reference to suture technics and postoperative management].
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One of the main aspects from a patient's standpoint regarding periodontal therapy is esthetics; the clinician who wants to control the disease by pocket elimination may underestimate this fact. This article describes a conservative surgical approach and a type of modified vertical mattress suture which allows repositioning of soft tissues to a preoperative level. A discussion follows on how such a conservative approach respects the philosophy of modern periodontal therapy.
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Unlike in laparotomy, the art of pelviscopic surgery cannot be learned through assisting. For this reason, a training dummy, called a Pelvi-Trainer, has been developed. With this device, all surgical measures occurring in abdominal surgery can be simulated, such as adhesiolysis, internal ligature, internal sutures, resection, adnexectomy, enucleation of myomas, etc. The Pelvi-Trainer, designed for a three-stage plan, allows one to become gradually acquainted with the field of endoscopic surgery, and to make the transition from binocular vision to perfect three-dimensional control over intra-abdominal surgery under monocular endoscopic vision.
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Tubing migration accounts for a significant number of shunt complications. In an attempt to reduce the likelihood of disconnection and tubing migration, we have developed a technique to rigidly fix the proximal catheter to the skull. The method involves the placement of a small twist drill hole adjacent to the catheter burr hole through which a suture is passed. The suture is then used to rigidly bind the proximal shunt tubing and valve to the skull. This approach provides an efficient and effective means for reducing complications related to shunt tubing migration.
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