BIOMAT Database Logo BIOMAT Database Logo

Securing extraocular muscles in strabismus surgery: effect of cautery on suture strength. 2019

Carolina Adams, and Steven E Brooks
Department of Ophthalmology, Columbia University Medical Center, New York, New York.

An experimental study was performed to evaluate quantitatively the effect of cautery on the tensile strength of sutures commonly used in strabismus surgery. This in vitro study was conducted in a controlled fashion using 6-0 polyglactin 910 suture, two different forms of cautery, and a precision digital force gauge. The results suggest that thermal electrocautery with a wire tip can substantially weaken or break 6-0 polyglactin threads only if direct contact is made, but bipolar cautery at typical ophthalmic surgical settings does not.

UI MeSH Term Description Entries
D009801 Oculomotor Muscles The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris. Extraocular Muscles,Extraocular Rectus Muscles,Inferior Oblique Extraocular Muscle,Inferior Oblique Muscles,Levator Palpebrae Superioris,Musculus Orbitalis,Oblique Extraocular Muscles,Oblique Muscle, Inferior,Oblique Muscle, Superior,Oblique Muscles, Extraocular,Rectus Muscles, Extraocular,Superior Oblique Extraocular Muscle,Superior Oblique Muscle,Extraocular Muscle,Extraocular Muscle, Oblique,Extraocular Muscles, Oblique,Extraocular Oblique Muscle,Extraocular Oblique Muscles,Extraocular Rectus Muscle,Inferior Oblique Muscle,Muscle, Oculomotor,Muscles, Oculomotor,Oblique Extraocular Muscle,Oblique Muscle, Extraocular,Oblique Muscles, Inferior,Oblique Muscles, Superior,Oculomotor Muscle,Rectus Muscle, Extraocular,Superior Oblique Muscles
D011098 Polyglactin 910 A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons. Glycolic-Lactic Acid Polyester,Poly(Lactide-Co-Glycoside),Dimethyldioxanedione Polymer with Dioxanedione Polymer,Dioxanedione Polymer with Dimethyldioxanedione Polymer,Poly(Glycolide Lactide)Copolymer,Poly(Lactide-Co-Glycolide),Polygalactin 910,Polyglactin,Vicryl,Acid Polyester, Glycolic-Lactic,Glycolic Lactic Acid Polyester,Polyester, Glycolic-Lactic Acid
D004564 Electrocoagulation Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit. Diathermy, Surgical,Electrocautery,Endocavitary Fulguration,Galvanocautery,Surgical Diathermy,Thermocoagulation,Fulguration, Endocavitary
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012590 Sclera The white, opaque, fibrous, outer tunic of the eyeball, covering it entirely excepting the segment covered anteriorly by the cornea. It is essentially avascular but contains apertures for vessels, lymphatics, and nerves. It receives the tendons of insertion of the extraocular muscles and at the corneoscleral junction contains the CANAL OF SCHLEMM. (From Cline et al., Dictionary of Visual Science, 4th ed) Scleral Spur,Scleral Spurs,Scleras
D013285 Strabismus Misalignment of the visual axes of the eyes. In comitant strabismus the degree of ocular misalignment does not vary with the direction of gaze. In noncomitant strabismus the degree of misalignment varies depending on direction of gaze or which eye is fixating on the target. (Miller, Walsh & Hoyt's Clinical Neuro-Ophthalmology, 4th ed, p641) Concomitant Strabismus,Dissociated Horizontal Deviation,Dissociated Vertical Deviation,Heterophoria,Heterotropias,Hypertropia,Non-Concomitant Strabismus,Nonconcomitant Strabismus,Phorias,Squint,Strabismus, Comitant,Strabismus, Noncomitant,Convergent Comitant Strabismus,Mechanical Strabismus,Comitant Strabismus,Comitant Strabismus, Convergent,Deviation, Dissociated Horizontal,Dissociated Horizontal Deviations,Dissociated Vertical Deviations,Heterophorias,Heterotropia,Horizontal Deviation, Dissociated,Hypertropias,Non Concomitant Strabismus,Noncomitant Strabismus,Phoria,Strabismus, Concomitant,Strabismus, Convergent Comitant,Strabismus, Mechanical,Strabismus, Non-Concomitant,Strabismus, Nonconcomitant
D013508 Ophthalmologic Surgical Procedures Surgery performed on the eye or any of its parts. Ophthalmologic Surgical Procedure,Ophthalmological Surgical Procedures,Procedure, Ophthalmologic Surgical,Procedures, Ophthalmologic Surgical,Surgical Procedure, Ophthalmologic,Surgical Procedures, Ophthalmologic,Ophthalmological Surgical Procedure,Procedure, Ophthalmological Surgical,Procedures, Ophthalmological Surgical,Surgical Procedure, Ophthalmological,Surgical Procedures, Ophthalmological
D013536 Suture Techniques Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). Suture Technics,Suture Technic,Suture Technique,Technic, Suture,Technics, Suture,Technique, Suture,Techniques, Suture
D013537 Sutures Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed) Staples, Surgical,Surgical Staples,Staple, Surgical,Surgical Staple,Suture
D013718 Tensile Strength The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001) Strength, Tensile,Strengths, Tensile,Tensile Strengths

Related Publications

Carolina Adams, and Steven E Brooks
Securing extraocular muscles in strabismus surgery: laboratory analysis of biomechanical parameters related to the suture.
December 2017, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
Carolina Adams, and Steven E Brooks
Securing extraocular muscles in strabismus surgery: biomechanical analysis of muscle imbrication.
October 2017, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
Carolina Adams, and Steven E Brooks
Securing Extraocular Muscles in Strabismus Surgery: How Strong Is the Sclera?
November 2017, Ophthalmology,
Carolina Adams, and Steven E Brooks
Securing extraocular muscles in strabismus surgery: biomechanical analysis of knot-tying technique.
October 2017, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
Carolina Adams, and Steven E Brooks
Securing extraocular muscles in strabismus surgery: biomechanical analysis of muscle imbrication and knot tying technique.
February 2019, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
Carolina Adams, and Steven E Brooks
Experimental suture studies in strabismus surgery. I. Reattachment rate of extraocular muscles after recession and resection operations.
November 1976, Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. Albrecht von Graefe's archive for clinical and experimental ophthalmology,
Carolina Adams, and Steven E Brooks
Anomalous extraocular muscles with strabismus.
October 2011, AJNR. American journal of neuroradiology,
Carolina Adams, and Steven E Brooks
Gene expression profile of extraocular muscles following resection strabismus surgery.
May 2019, Experimental eye research,
Carolina Adams, and Steven E Brooks
Strabismus surgery in congenital fibrosis of the extraocular muscles: a paradigm.
December 2014, Ophthalmic genetics,
Carolina Adams, and Steven E Brooks
Tensile strength of insertional suture techniques in strabismus surgery.
January 1996, Journal of pediatric ophthalmology and strabismus,
Copied contents to your clipboard!