The use of imbricated sutures in radioactive plaque brachytherapy surgery

Creative Commons License

GÜNDÜZ A. K., Pulido J. S., Yeakel P. D., King M., Classic K. L., Furutani K. M.

Clinical Ophthalmology, cilt.4, sa.1, ss.159-161, 2010 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 4 Sayı: 1
  • Basım Tarihi: 2010
  • Doi Numarası: 10.2147/opth.s9011
  • Dergi Adı: Clinical Ophthalmology
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.159-161
  • Anahtar Kelimeler: Choroidal melanoma, Ciliary body melanoma, Collaborative ocular melanoma study, Iodine-125, Plaque placement, Plaque radiotherapy, Plaque removal, Radiation exposure, Retinoblastoma, Ruthenium-106
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Ankara Üniversitesi Adresli: Evet

Özet

This paper describes a new technique to suture the radioactive plaque to sclera. The radioactive plaque is conventionally sutured to the sclera using 5/0 nylon sutures. The imbricated suture technique involves using a 1/0 silk or 2/0 mersilene suture imbricated with the 5/0 nylon suture when the nylon suture is tied and cut. The imbricated suture technique allows easy identification of the plaque at removal and provides a surface that separates the 5/0 nylon from the surface of the eyelet platform, making suture cutting easier and safer. The radiation exposure times ranged from 9.1 minutes to 14 minutes (mean: 10.8 minutes) during plaque insertion and from 2.8 to 3.3 minutes (mean: 3.0 minutes) during plaque removal with the imbricated suture technique. This technique may decrease radiation exposure time and may prevent inadvertent scleral damage. © 2010 Gündüz et al, publisher and licensee Dove Medical Press Ltd.