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A Novel Technique for Recurrent Tube Exposure Repair.

ABSTRACT: Purpose:Tube exposure can lead to vision-threatening consequences and requires prompt surgical attention. Posterior repositioning of the tube to the pars plana has previously been reported as a successful technique. However, this method requires a pars plana vitrectomy (PPV). Here, we describe a novel technique of repositioning the tube into the ciliary sulcus without requiring PPV. Methods:This is a retrospective interventional case report of two patients who had undergone prior glaucoma drainage device implantation and prior tube exposure repair and developed recurrent tube exposure. Tube exposure in the subjects was repaired by repositioning the tube in the ciliary sulcus. Results:The two eyes remained exposure free postoperatively with 51- and 60-month follow-ups. Conclusions:Repositioning the tube to the ciliary sulcus may be an effective technique to avoid reexposure.

SUBMITTER: Kang JM

PROVIDER: S-EPMC7081018 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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A Novel Technique for Recurrent Tube Exposure Repair.

Kang J Minjy JM Hsia Yen Cheng YC Han Ying Y

Case reports in ophthalmological medicine 20200302

<h4>Purpose</h4>Tube exposure can lead to vision-threatening consequences and requires prompt surgical attention. Posterior repositioning of the tube to the pars plana has previously been reported as a successful technique. However, this method requires a pars plana vitrectomy (PPV). Here, we describe a novel technique of repositioning the tube into the ciliary sulcus without requiring PPV.<h4>Methods</h4>This is a retrospective interventional case report of two patients who had undergone prior ...[more]

PMID: 32206361

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Tube Revision Outcomes for Exposure with Different Repair Techniques

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| S-EPMC7537842 | biostudies-literature

Novel open technique for repair of endograft migration.

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A novel technique for closed-chamber iridodialysis repair.

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Inside out: a novel labral repair and advancement technique.

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A Novel Arthroscopic Inside-Out Repair Technique for PASTA Lesions.

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Novel piston technique versus Ilizarov technique for the repair of bone defect after lower limb infection.

Project description:BackgroundWe aimed to compare the effectiveness and complications of a novel piston technique versus the Ilizarov technique for the repair of bone defects after lower limb infection.Patients and methodsWe retrospectively reviewed 41 patients who had been treated at our department for lower extremity bone defects following osteomyelitis. There were 38 men and three women with a mean age of 43.41 (range, 12-69 years). The infected bone defects involved 36 tibias and five femurs. The piston technique (PT, group A) was used in 12 patients and the Ilizarov technique (IT, group B) in 29 patients. The mean follow-up period was 28.50 months (PT) and 29.90 months (IT). The modified Application of Methods of Illizarov (ASAMI) criteria was used to evaluate bone healing and functional recovery.ResultsComplete eradication of the infection and union of docking sites were accomplished in both groups. The mean external fixator index (EFI) was 42.32 days/cm in group A versus 58.85 days/cm in group B (p < 0.001). The bone outcomes were similar between groups A and B (p = 0.558) (excellent [9 vs. 19], good [3 vs.10]); group A showed better functional outcomes than group B (p < 0.05) (excellent [7 vs. 6], good [4 vs. 12], fair [0 vs. 10] and poor [1 vs. 1]). Pain was the most common complaint during follow-up, and group A had fewer cases of pin tract infection (1 vs. 6), adjacent joint stiffness (3 vs. 8), and delayed healing of the joint (0 vs. 3).ConclusionsSatisfactory bone healing can be achieved by using both PT and IT, although PT demonstrated better functional results, lower EFI, and allowed early removal of the external fixation. We found that this novel piston technique can improve the comfort of patients, reduce the incidence of complications, and provide rapid and convenient rehabilitation.

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