98%
921
2 minutes
20
Purpose: To calculate the surgically induced astigmatism (SIA) in MSICS through a superiorly placed straight scleral incision closed with a single, central, perpendicular 10-0 polyamide suture and to document any suture-related complaints and complications.
Methods: A retrospective, hospital-based study was carried out in 50 cases of uncomplicated senile cataract (>50 year) with nuclear sclerosis ≥ grade 4, "with the rule" astigmatism who underwent MSICS through a superior, straight incision with a single, central, perpendicular 10-0 nylon suture. Patients with "against the rule" astigmatism, keratoconus, pre-existing corneal opacity, astigmatism >2D, distorted or oblique mires, and previous ocular surgeries and unwilling to participate were excluded.
Results: The mean age of the patients was 64.81 + 2.824 years, with a male: female ratio of 1.38:1. The mean SIA at day 7, week 6, and 12 weeks was 0.539 + 0.118, 0.529 + 0.134, and 0.524 + 0.129, respectively. Only 6 patients (12%) complained of foreign body sensation. No patient developed any suture-related complications.
Conclusion: SIA is significantly reduced in straight incision by applying a single, central, and perpendicular 10-0 polyamide suture, as compared to a straight incision without a suture.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907257 | PMC |
http://dx.doi.org/10.4103/ijo.IJO_1533_22 | DOI Listing |
Cureus
August 2025
Spinal Surgery, Kameda Medical Center, Chiba, JPN.
For lumbar spinal canal stenosis, endoscopic spine surgery typically employs a unilateral approach. While this approach has the advantage of early access to the lamina, it risks damage to the facet joint on the entry side. Additionally, decompression of the ipsilateral lateral recess can be challenging, sometimes resulting in inadequate decompression laterally, leading to incomplete symptom relief.
View Article and Find Full Text PDFPlast Reconstr Surg
September 2025
Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah.
Background: There remains significant uncertainty about the fistula rate following palate repair with the Furlow double opposing Z-plasty (Furlow) technique compared to a straight-line mucosal incision with intravelar veloplasty (straight-line/IVVP) technique. Moreover, the relative impact of technique and surgical skill on fistula incidence remains unclear.
Methods: A prospective, observational study of cleft palate repair was conducted.
BMC Surg
August 2025
Department of Hepatobiliary Pancreatic Surgery, The Second Affiliated Hospital of Zhejiang University, Jiefang Road 88, Hangzhou, Zhejiang Province, 310000, People's Republic of China.
Background: Laparoscopic cholecystectomy (LC) has been widely performed as the gold standard for BGDs. Single-incision laparoscopic cholecystectomy (SILC) was considered as an option for minimizing surgical injuries and improving outcomes. However, the benefit of this novel technique, especially with conventional and inflexible instruments and laparoscopy, is still controversial.
View Article and Find Full Text PDFJBJS Essent Surg Tech
August 2025
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Background: Achieving adequate exposure can be difficult in cases of revision total hip arthroplasty (THA). Splitting the gluteus maximus muscle with use of a Kocher-Langenbeck approach is the most common technique when performing a posterior approach to the hip. However, superior exposure of the ilium is limited by the superior gluteal neurovascular bundle (SGB).
View Article and Find Full Text PDFNeurosurg Rev
August 2025
Department of Neurosurgery, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Dural opening and closure represent a crucial yet under-discussed aspect of transsphenoidal surgery (TSS), where the operative field is narrow and cerebrospinal fluid (CSF) leakage remains a significant complication. In 2010, we abandoned the conventional cruciate dural incision and began developing optimized designs that provide wide exposure, minimal interference, and facilitate watertight closure. After investigating various incision types, we empirically established a modified H-shaped dural incision in 2011.
View Article and Find Full Text PDF