The aim of this study was to measure the immediate pull-out strengths by increasing the number of suture loops and to compare the immediate pull-out strengths of three different suturing techniques. In one group, the number of suture loops increased from 2 to 9 and the suturing technique of multiple loops through the proximal ligament stumps was used. The other group, the three different techniques were transverse, vertical, and criss-cross suture. The ultimate strength for the 2 loops was 16.62 (+/-6.7)N, for the 3 loops was 34.45 (+/-12.5)N, for the 4 loops was 54.80 (+/-17.7)N, for the 5 loops was 74.30 (+/-21.4)N, for the 6 loops was 102.49 (+/-13.5)N, for the 7 loops was 105.05 (+/-24.8)N, for the 8 loops was 129.50 (+/-76.1)N, for the 9 loops was 229.50 (+/-48.7)N. The transverse suture had a mean ultimate strength of 47.38 (+/-14.8)N, where-as the vertical suture failed at 76.94 (+/-26.4)N and the criss-cross suture at 101.82 (+/-25.7)N. Consequently, their strength can be improved by increasing the number of loops and we suggest that the criss-cross suture technique is reliable method for clinical use, because of high failure strength and wider apposition area of bone to ligament.
Ligaments* ; Suture Techniques ; Sutures

Humans ; Suture Techniques

While various surgical methods are used for inverted nipple correction, an optimal technique has not been established. We describe a combination of suture methods including purse-string sutures, based on a report by Gould et al. This is a simple and safe method for inverted nipple correction.
Methods* ; Nipples* ; Suture Techniques ; Sutures*

While various surgical methods are used for inverted nipple correction, an optimal technique has not been established. We describe a combination of suture methods including purse-string sutures, based on a report by Gould et al. This is a simple and safe method for inverted nipple correction.
Methods* ; Nipples* ; Suture Techniques ; Sutures*

Surgical suture is a common medical device made extensive use of hold body tissues together after an injury or surgery. Suture sizes are associated with the requirement of diameter and tensile strength in standard. They correspond with one by one. Suture sizes should be unified, standardized and correctly marked for correct and convenient selection in surgery. Using the average diameter of single suture is more scientific and reasonable than that of multiple sutures in marking.
Suture Techniques ; Sutures ; Tensile Strength

No abstract available.
Cicatrix* ; Skin* ; Suture Techniques* ; Sutures*

Detachment of a keratomileusis lenticule or extensive epithelial ingrowth is a difficult complication to amnage. Seven cases of extensive interfacial epithelial ingrowth were occurred following in situ keratomileusis or laser in situ keratoileusis. After the removal of epithelial ingrowth, we tried to reattach the lenticule to the stromal bed by drying the cap with air, or by suturing using interrupted sutures or double running sutures. Three detached cases were applied with air dry, only one case was reattached. Two other cases were failed due to epithelial ingrowth along the interface. In spite of the interupted sutures, the epithelial ingrowth along the interface recurred. In one of them, the edge of the lenticule was burried into the stroma and the lenticule was attached to the cornea leaving a ring-shaped opacity peripherally. In the other four cases, the lenticule was attached to the cornea successfully without epithelial ingrowth along the interface with double running sutures. Detached lenticules with extensive epithelial ingrowth following keratomileusis can be managed successfully by double running suture technique.
Cornea ; Corneal Transplantation* ; Running ; Suture Techniques ; Sutures

The current method of blepharoptosis revision utilizes the aponeurosis and muscle incision in order to advance or shorten the Muller's muscle or the levator papebrae superioris muscle. However, this procedure commonly results in asymmetry, and the procedure to correct it or to have multiple revisions remains difficult. In replacement of this procedure, a microincision procedure was conducted using the conjunctival approach. With this method, mild to moderate cases are corrected with two to three 1mm incisions to pull the Muller's muscle or the levator papebrae superioris muscle. We have been fifthy cases with non-incision transconjunctival Muller tucking from October 2011 to December 2011. 49 patients in study show satisfatory. In only one patient, incomplete correction was observed. The results are similar to the previous method and the recovery period remains the same at one to two weeks. In the case of unilaterality, the results are far superior. In addition, revision procedures of under-correction or over-correction are easily done and the surgical techniques required for revisions are simple. Inexperienced doctors are also able to apply this method successfully, so it is a recommended procedure. This method is called the Non-incision transconjunctival Muller Tucking or the Reverse Muller Tucking.
Blepharoptosis ; Eyelids ; Humans ; Muscles ; Suture Techniques

There are many methods to correct mild blepharoptosis and create double eyelid creases. However, all prior methods have the disadvantages of prolonged swelling, increased recovery time, and the need for an incision when the ptosis correction is simultaneously performed with double eyelid surgery. The authors have devised a new minimally invasive technique to correct mild ptosis during double eyelid surgery. Our technique utilizes stronger suture methods to create double eyelid folds and simultaneously perform the ptosis repair. The correction of mild blepharoptosis is achieved through the transconjunctival Muller's muscle tucking technique during a non-incisional suture method of double eyelid surgery.
Blepharoplasty ; Blepharoptosis ; Eyelids ; Muscles ; Suture Techniques ; Sutures

Skin closure is the surgeon's final operation technique. Although there have been many descriptions about the different kinds of sutures, the report on a 'three-point suture' were quite limited to the horizontal half buried suture technique up till now. The three-point suture can be met frequently in cases like irregular laceration, V-Y advancement flap, and reduction mammaplasty. Authors came up with and thereby introduce a more secure and convenient three-point suture technique, which proved to be superior to the horizontal half buried suture technique in that it gives a better skin approximation and eversion. It can also be applied to a multi- point suture such as a four-point suture or a five-point suture and a three-point mattress suture.
Female ; Lacerations ; Mammaplasty ; Skin ; Suture Techniques* ; Sutures*