ADJUNCTIVE USE OF A NOVEL RELEASABLE SUTURE TECHNIQUE IN TRANSCONJUNCTIVAL VITRECTOMY
- Title
- ADJUNCTIVE USE OF A NOVEL RELEASABLE SUTURE TECHNIQUE IN TRANSCONJUNCTIVAL VITRECTOMY
- Author
- 이병로
- Keywords
- prevention of wound leakage; releasable suture technique; sclerotomy site; 23-gauge transconjuctival vitrectomy; 20-gauge transconjuctival vitrectomy
- Issue Date
- 2011-02
- Publisher
- Lippincott Williams & Wilkins
- Citation
- Retina: The Journal of Retinal & Vitreous Diseases, Feb 2011, 3(2), P.243-249, 7P.
- Abstract
- Purpose: The purpose of this study was to determine the merits of a transconjunctival vitrectomy with the releasable suture technique in a large series of 20-gauge, 23-gauge, and hybrid trocar vitrectomy and to assess its effectiveness in minimizing the occurrence of incompetent wound closures.Methods: One hundred and one patients, with a variety of vitreoretinal disorders, and totaling 125 eyes, were enrolled. Each entry site wound was closed, with the releasable suture technique using 8-0 nylon. Postoperatively, sutures were released under a slit lamp at the office a mean 22.9 hours after surgery. In addition to the usual intraoperative and postoperative identification of complications, preoperative and postoperative intraocular pressures were monitored.Results: The full results from all 337 sclerotomies (206, 20 gauge; and 131, 23 gauge) were assessed. It was observed that there were no significant differences between preoperative and postoperative intraocular pressure measurements (P > 0.05); no eyes required fluid or gas supplements, there was no significant wound leakage or hypotony; and no significant complications occurred, such as endophthalmitis or choroidal detachment.Conclusion: These results indicate that transconjunctival vitrectomy with releasable sutures, including those conducted with larger instrument trocar systems, offer patients excellent chances for a favorable outcome without incidences of postoperative wound leakage or hypotony.RETINA 31: 243-249, 2011
- URI
- https://insights.ovid.com/crossref?an=00006982-201102000-00005http://hdl.handle.net/20.500.11754/52948
- ISSN
- 0275-004X
- DOI
- 10.1097/IAE.0b013e3181e586ce
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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