Articles: sutures.
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Diagnostic methods for the incompetence of the internal cervical os are described. The incompetence of the internal cervical os when there is no pregnancy is especially dealt with. For the diagnosis five tests are used (measurement of the uterine cavity and palpation of the cervical channel, Palmer test, Bergman-Svennerund test cervicohysterography, and X-ray cervicometry). ⋯ In cases with an undeveloped clinical picture the operation could be recommended twelfth week of pregnancy. With an appropriate selection of patients and an operation after the twelfth week of pregnancy a success of 82% was achieved at the university hospital in Ljubljana. The duration of the sick-leave after the operation is also indicated.
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Dog bite wounds are a common problem with an infection rate only slightly higher than that for lacerations in general. Wounds may be sutured after debridement and thorough irrigation, unless they are located on the hand, where infection is common. Infection is caused by a variety of organisms. A penicillinase-resistant penicillin or cephalexin monohydrate is the drug of choice; studies suggest prophylactic antibiotic therapy may be useful, especially in high-risk wounds.
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In this prospective study, the abdominal wounds of 500 consecutive patients were closed with buried retention monofilament stainless steel wire. The strength of the suture material, the rapidity of the closure, the very low 0.4% dehiscence rate and the almost total lack of wound complications seems to override the relatively minor inconvenience of handling the wire. These results seem to justify the rountine use of this method of wound closure in abdominal surgery, especially in the elderly and high-risk patients.
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American heart journal · Nov 1976
Case ReportsSpontaneous cardiac tamponade due to sternotomy wire suture.
The first case of spontaneous cardiac tamponade caused by wire suture for sternotomy closure is presented. The proper analysis of bloody pericardial fluid, including simultaneous aspirate and venous hematocrit, oxygen content, and coagulation studies, is emphasized. In addition, the causes of acute hemopericardium are reviewed. Spontaneous cardiac tamponade as a potential late complication of cardiac surgery should be considered in the postoperative patient who presents with pericarditis or a sudden change in cardiac status.