Split-shot sinker facilitates seton treatment of anal fistulae.
*Surgical Instruments; *Suture Anchors; *Suture Techniques; Female; Humans; Rectal Fistula/*surgery
OBJECTIVE: The cutting seton is an inexpensive and effective method of treating high complex perianal fistulae. Following placement of the seton, advancement through the external sphincter muscles requires progressive tightening of the seton. The requirement for maintaining the appropriate tension and onset of perianal pressure necrosis are problems frequently encountered using this technique. METHOD: Using a 3-0 polypropylene suture, a red-rubber catheter, and a nontoxic tin split-shot sinker, we minimized or eliminated these problems. RESULTS: We initially used this technique in one patient with satisfactory results. CONCLUSION: This technique is technically easy, safe, inexpensive, and efficient, and we are using it in all patients with high perianal fistulae who require a seton.
Awad M L; Sell H W; Stahlfeld K R
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
2009
2009-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/j.1463-1318.2008.01715.x" target="_blank" rel="noreferrer noopener">10.1111/j.1463-1318.2008.01715.x</a>
Segmental splenectomy using the ultrasonic surgical aspirator.
Humans; Splenectomy/*methods; *Surgical Instruments; Ultrasonic Therapy/*instrumentation
The technique described seems to significantly decrease blood loss in segmental splenectomy. Resection of the damaged splenic segments offers the potential advantage of reducing rebleeding and secondary hemorrhage from sites of repaired lacerations. Also, the viable splenic fragment that is left behind may afford protection from postsplenectomy sepsis. The ultrasonic surgical aspirator seems well suited for the purpose of segmental splenectomy in both the trauma and staging laparotomy setting.
Moorman D W; Evans D M; Wright D J
American journal of surgery
1988
1988-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/s0002-9610(88)80711-6" target="_blank" rel="noreferrer noopener">10.1016/s0002-9610(88)80711-6</a>