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Circumcision, meatotomy, meatoplasty, and preputioplasty
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Rachel Harwood, Simon E. Kenny
A pair of iris scissors is used to make a generous ventral incision through the meatus (Figure 77.4a and b). The edges of the urethral mucosa are approximated to the adjacent skin with 7/0 or 6/0 absorbable sutures (Figure 77.4c).
Microsurgical Procedures in Research on the Lymphatic System
Published in Waldemar L. Olszewski, CRC Handbook of Microsurgery, 2019
Waldemar L. Olszewski, Thomas Ryffa
Preparation of the recipient — Under ether anesthesia the abdomen of the recipient is shaved, cleaned with alcohol, and opened in the same manner as the donor. Retractors are placed on both sides of the abdominal wall, intestines are wrapped in a saline-moistened gauze and displaced to the left side of the recipient. The great abdominal vessels, aorta and vena cava, are dissected free of the surrounding fat and connective tissue by gently rubbing along them using dry gauze. The aortic and caval sections between the confluence of the left renal vein and bifurcation of the aorta are prepared for clamping. Both vessels are clamped longitudinally with a rubber-covered vascular clamp to prevent their destruction by the clamp’s branches. Using curved iris scissors two incisions are made in both vessels, according to the diameter of the aortic and portal cuffs of the graft.
Surgical Techniques: Subcision, Grafting, Excision, and Punch Techniques
Published in Antonella Tosti, Maria Pia De Padova, Gabriella Fabbrocini, Kenneth R. Beer, Acne Scars, 2018
Rohit Kakar, Farhaad Riyaz, Megan Pirigyi, Murad Alam
A modified technique describes mincing grafts with a #15 surgical blade or curved iris scissors to form smashed dermal grafts, moldable to any shape and suitable for boxcar, rolling, linear or irregular geometrical scars [36]. The smashed dermal grafts are aspirated into 1 mL tuberculin syringes with 18-gauge needles and inserted with graft-holding forceps. This may be followed by external manipulation until maximum correction is achieved [36].
Surgical management of giant acne keloidalis nuchae lesions
Published in Case Reports in Plastic Surgery and Hand Surgery, 2021
Laura I. Galarza, Camille A. Azar, Youssef Al Hmada, Abelardo Medina
In each case, posterior scalp and neck were shaved, prepped and draped in standard fashion. The AKN lesion was pre-marked with 1 cm margin to include all unhealthy hair follicles and scar tissues. The surrounding area was infiltrated with 1:1 ratio of 0.5% bupivacaine and 1% lidocaine containing epinephrine (1:100,000 final dilution). By using electrocautery, the incision was carried down to the level of subcutaneous tissue in the scalp, and then it continued under the lesion in a plane superficial to the galea. Of note, surgical dissection of these lesions was difficult and time consuming due to the presence of highly vascularized inflammatory tissue and significant perilesional fibrotic reaction. After the specimen was passed to the back table, special attention was focus on removing all remaining hair follicles still present in the wound bed. Under 3.5× magnification loupes, this step was meticulously done with forceps and Iris scissors (or similar). Hemostasis was achieved with electrocautery and 3-0 vicryl suture for major perforator vessels.
Phenotypic plasticity of mesenchymal stem cells is crucial for mesangial repair in a model of immunoglobulin light chain-associated mesangial damage
Published in Ultrastructural Pathology, 2018
Guillermo A. Herrera, Jiamin Teng, Chun Zeng, Hongzhi Xu, Man Liang, J Steven Alexander, Bing Liu, Chris Boyer, Elba A. Turbat-Herrera
The abdominal wall was opened using a midline incision. The left ureter and urinary bladder outlet were ligated using a 6(0) silk suture as cannulation of the right ureter is technically difficult in mice, a polyethylene tube (PE-10) serving as a cannula was inserted into the urinary bladder and sutured in place to collect urine samples from right kidney. In the rat model, cannulation of the right ureter was also carried out with PE-10 tubing. The right renal artery was cannulated through the superior mesenteric artery. After blunt dissection of the superior mesenteric artery and separation from surrounding connective tissues, a 6(0) silk ligature was applied distally close to the mesentery. The proximal end was clamped using a micro vessel clip. A small incision was made in the superior mesenteric artery using iris scissors to allow cannulation with a 28G cannula. Flushing the clamped superior mesenteric artery with perfusate eliminated air bubbles. The superior mesenteric artery was then unclamped and the cannula was advanced across the aorta into the right renal artery without disruption of renal flow. The cannula was fixed in place using 6(0) silk sutures, one around the superior mesenteric artery and another suture around the right renal artery.
Surgical experiences in pediatric pilomatricoma: punch incision and elliptical excision
Published in Journal of Dermatological Treatment, 2023
Hoon Choi, Dong Hyun Shim, Chan Ho Na, Bong Seok Shin, Min Sung Kim
The surgical treatments for pilomatricoma included elliptical excision based on the traditional elliptical radical excision method using a no. 15 surgical scalpel blade and punch incision based on the surgical excision method using a punch. Punch incision was performed as follows: The lesion boundaries were marked using a surgical pen based on direct visualization by the naked eye by a surgeon or dermoscopy.The surgical site was anesthetized using 1% lidocaine with 1:100,000 epinephrine solution.After usage of a disposable 3–4-mm punch at the center of the lesion boundaries, the tumor materials were exposed by applying lateral pressure to the surrounding skin.Dissection between the tumor and surrounding tissue was performed using iris scissors, and as much of the tumor as possible was removed (Figure 1(a)). When the tumor was too large for dissection, it was cut into small pieces using a punch and pulled out using forceps.After main mass removal, the remaining walls and materials were removed using curettes or iris scissors. The process was repeated until the materials did not emerge in any direction from the incision hole.Following sufficient irrigation with isotonic sodium chloride solution, the surgeon carefully inspected the wound for evidence of remnant lesions (Figure 1(b)).The wound was closed with only one or two simple interrupted sutures (Figure 1(d)). When the tumor was large and a deeper defect was expected to remain, deep dermal suturing was performed using absorbable sutures.