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[Suture technique for perforating keratoplasty (author's transl)]

F Hoffmann

    Klinische Monatsblatter Fur Augenheilkunde
    |November 1, 1976
    PubMed
    Summary

    For perforating keratoplasty, vertical suture tensions in radial and diagonal continuous sutures can cause wound gape. The double continuous diagonal suture (cross-stitch) technique is recommended for optimal wound closure with minimal suture material.

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    [Update 2022: interdisciplinary statement on airway management with supraglottic airway devices in pediatric emergency medicine-The laryngeal mask is and remains state of the art : Joint statement of the Institute for Emergency Medicine and Medicine Management (INM), the University Clinic Munich, LMU Munich, Germany, the Working Group for Pediatric Critical Care and Emergency Medicine of the German Interdisciplinary Society for Critical Care and Emergency Medicine (DIVI), the Medical Directors of Emergency Medical Services in Bavaria (ÄLRD), the Scientific Working Group for Pediatric Anesthesia (WAKKA) of the German Society for Anesthesiology and Intensive Care Medicine (DGAI), the Scientific Working Group for Emergency Medicine of the German Society for Anesthesiology and Intensive Care Medicine (DGAI) and the Society of Neonatology and Pediatric Critical Care Medicine (GNPI)].

    Die Anaesthesiologie·2023

    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Corneal Surgery

    Context:

    • Perforating keratoplasty involves suturing the donor cornea to the recipient cornea.
    • Traditional suture techniques can lead to complications like wound gape.
    • Optimizing wound closure is crucial for successful corneal transplantation.

    Purpose:

    • To evaluate different suture techniques for perforating keratoplasty.
    • To identify suture methods that minimize wound gape and suture material usage.
    • To recommend the most effective suture technique for improved outcomes.

    Summary:

    • Describes common suture techniques and thread pulling directions in perforating keratoplasty.
    • Highlights unfavorable vertical factors in radial and diagonal continuous sutures causing wound fissure gape.
    • Identifies the double continuous diagonal suture (cross-stitch) as superior for uniform wound sealing with minimal material.

    Impact:

    • Recommends the double continuous diagonal suture technique for perforating keratoplasty.
    • Aims to improve wound healing and reduce complications in corneal transplantation.
    • Provides guidance for ophthalmic surgeons on optimal suture selection.

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