Background: Surgical drains are used in at least half of all surgical operations world-wide. The gold standard for the fixation of drains to the skin is currently the “Roman garter” (RG) technique, which involves kn...Background: Surgical drains are used in at least half of all surgical operations world-wide. The gold standard for the fixation of drains to the skin is currently the “Roman garter” (RG) technique, which involves knotting a suture around the drain. Its disadvantages include the time to perform the technique, possible loosening and accidental removal, and bacterial infection with biofilm formation if left in place for weeks. Methods: The Elist Drain Retainer (EDR) has been developed, and it consists of a short plastic tube bent to 90° with a side slit for the drain, fixed to a mounting patch with adhesive and an antiseptic. Results: In a clinical trial comparing 25 drain attachments with the RG versus 25 drain attachments with the new EDR, the former took an average of five minutes and the EDR took an average of one minute to place. Loosening occurred in five (20%) drains and accidental removal occurred in four (16%) for the RG group versus no incidences of loosening or accidental removal in the EDR group. Self-removal of the EDR was possible for seven (28%) patients. Conclusion: The EDR demonstrated a clear advantage over the RG in all tested parameters. The lack of instruments and the possibility of self-removal of the EDR when a drain is needed are particularly advantageous features.展开更多
Introduction: Congenital and acquired penile curvature has a negative impact on penile aesthetics, sexual capabilities, and male psychology. Surgical procedures yield satisfactory correction of curvature, but are usua...Introduction: Congenital and acquired penile curvature has a negative impact on penile aesthetics, sexual capabilities, and male psychology. Surgical procedures yield satisfactory correction of curvature, but are usually associated with penile shortening and palpable suture material and nodules under the skin, resulting in patient dissatisfaction. Aims: To present a novel technique using a subcutaneous soft silicone implant for surgical treatment of penile soft tissue deformities with curvature, with prevention of surgery-associated penile shortening and subcutaneous “bumps”, and with additional gains in overall penile length and girth. Method: 3 patients who complained about congenital, post-traumatic, and post-penile surgery associated penile curvature, with concerns about their penile aesthetics and associated negative psychosocial effects, were treated with the insertion of a subcutaneous soft silicone penile implant. Results: During a follow up period of 2 - 12 months (mean: 6.7 ± 3.6 months) all three patients expressed objective and subjective satisfaction regarding the corrective results of the surgery. Penile length and girth measurements during follow-up showed a mean increase in length of 4.3 cm (±1.4 cm) and a mean increase in girth of 3.0 cm (±1.0 cm). Conclusion: The insertion of the subcutaneous soft silicone implant in addition to corporeal fibrotic tissue removal in patients with congenital or acquired penile curvature is an effective option that provides the patient with aesthetic improvements by correcting penile deviation, preventing post-surgical subcutaneous nodule formation that results from the technique and suture material used, and adding penile length and girth. Further prospective studies are required to validate our initial experience.展开更多
文摘Background: Surgical drains are used in at least half of all surgical operations world-wide. The gold standard for the fixation of drains to the skin is currently the “Roman garter” (RG) technique, which involves knotting a suture around the drain. Its disadvantages include the time to perform the technique, possible loosening and accidental removal, and bacterial infection with biofilm formation if left in place for weeks. Methods: The Elist Drain Retainer (EDR) has been developed, and it consists of a short plastic tube bent to 90° with a side slit for the drain, fixed to a mounting patch with adhesive and an antiseptic. Results: In a clinical trial comparing 25 drain attachments with the RG versus 25 drain attachments with the new EDR, the former took an average of five minutes and the EDR took an average of one minute to place. Loosening occurred in five (20%) drains and accidental removal occurred in four (16%) for the RG group versus no incidences of loosening or accidental removal in the EDR group. Self-removal of the EDR was possible for seven (28%) patients. Conclusion: The EDR demonstrated a clear advantage over the RG in all tested parameters. The lack of instruments and the possibility of self-removal of the EDR when a drain is needed are particularly advantageous features.
文摘Introduction: Congenital and acquired penile curvature has a negative impact on penile aesthetics, sexual capabilities, and male psychology. Surgical procedures yield satisfactory correction of curvature, but are usually associated with penile shortening and palpable suture material and nodules under the skin, resulting in patient dissatisfaction. Aims: To present a novel technique using a subcutaneous soft silicone implant for surgical treatment of penile soft tissue deformities with curvature, with prevention of surgery-associated penile shortening and subcutaneous “bumps”, and with additional gains in overall penile length and girth. Method: 3 patients who complained about congenital, post-traumatic, and post-penile surgery associated penile curvature, with concerns about their penile aesthetics and associated negative psychosocial effects, were treated with the insertion of a subcutaneous soft silicone penile implant. Results: During a follow up period of 2 - 12 months (mean: 6.7 ± 3.6 months) all three patients expressed objective and subjective satisfaction regarding the corrective results of the surgery. Penile length and girth measurements during follow-up showed a mean increase in length of 4.3 cm (±1.4 cm) and a mean increase in girth of 3.0 cm (±1.0 cm). Conclusion: The insertion of the subcutaneous soft silicone implant in addition to corporeal fibrotic tissue removal in patients with congenital or acquired penile curvature is an effective option that provides the patient with aesthetic improvements by correcting penile deviation, preventing post-surgical subcutaneous nodule formation that results from the technique and suture material used, and adding penile length and girth. Further prospective studies are required to validate our initial experience.
