Conjunctival limbal autograft transplantation in pterygium surgery by natural haemostasis

Kumar, Sanjeet; Waikar, Shrikant; Vk, Srivastava

doi:10.1016/j.mjafi.2013.02.006

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Aunque esta técnica es considerada como la más efectiva, la forma de fijación del autoinjerto puede variar. Entre las alternativas destacadas se encuentran la sutura, ampliamente utilizada, seguida del pegamento tisular, el pegamento autólogo y, en menor medida, el electrocauterio [12,13,14] . Estudios previos han sugerido similitudes en las tasas de recurrencia, con diferencias relacionadas con la sintomatología postoperatoria [9] .…”

Section: Introductionunclassified

Ensayo clínico controlado aleatorio de dos técnicas quirúrgicas para pterigión primario en pacientes de la selva: cauterización versus sutura

Armas Herrera,

Arévalo Arévalo

2024

Acta Med Peru

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Objetivo: Comparar dos técnicas quirúrgicas para extirpar el pterigión, mediante la evaluación de la sintomatología postoperatoria y la incidencia de la recidiva. Métodos: Ensayo clínico controlado aleatorizado con dos grupos paralelos y diseño simple ciego en 80 pacientes con pterigión primario de la Clínica Oftalmológica de la Selva. El primer grupo consideró la técnica de autoplastia fijada con cauterio bipolar (n=40) y el segundo la técnica convencional de autoplastia fijada con puntos (n=40). Se evaluaron los síntomas a las 72 horas postoperatorias y la recidiva a los seis meses. Resultados: A las 72 horas postcirugía el 6 % de los operados con la técnica electrocauterio presentaron sintomatología en comparación a un 41 % de los operados con sutura (p<0,05). Se evidenció recurrencia de 1 caso en el grupo de electrocauterio y 4 en el grupo de sutura (2,5 % vs. 10 %, p<0,05). Conclusiones: La técnica con cauterio demostró una recuperación más favorable, con menor sintomatología y recurrencia en comparación a la técnica convencional. Estos hallazgos sugieren que la técnica con cauterio puede ser más efectiva y mejor tolerada en pacientes de este estudio.

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Section: Introductionunclassified

Ensayo clínico controlado aleatorio de dos técnicas quirúrgicas para pterigión primario en pacientes de la selva: cauterización versus sutura

Armas Herrera,

Arévalo Arévalo

2024

Acta Med Peru

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“…Recent reports favor the use of fibrin glue over sutures to fixate the conjunctival graft in pterygium surgery for improving comfort, decreasing surgical time, and reducing complication rates. 8 A less expensive and alternative option to fibrin glue involves conjunctival autograft fixation induced by hemostasis of the patient’s own serum and electrocauterization. 8–10…”

Section: Introductionmentioning

confidence: 99%

“…8 A less expensive and alternative option to fibrin glue involves conjunctival autograft fixation induced by hemostasis of the patient’s own serum and electrocauterization. 8–10…”

Section: Introductionmentioning

confidence: 99%

Pterygium Surgery with Conjunctival Autograft Fixation Using Bipolar Electrocauterization

Costa

Barbosa

et al. 2020

European Journal of Ophthalmology

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Purpose: To report a case series of pterygium surgery with conjunctival autograft fixation using bipolar electrocautery. Design: A noncomparative, retrospective, interventional case series of pterygium surgery with follow-up longer than 12 months to assess recurrence and other complication rates. Participants: Fifty-six eyes of 37 patients were treated between April 2011 and January 2018, either for primary ( n = 53 cases) or recurrent ( n = 3 cases) pterygia. Intervention: After pterygium excision, free conjunctival grafts from the inferior bulbar conjunctiva of the same eye were harvested and fixated with the use of bipolar electrocautery. Main outcome measure: Recurrence of the pterygium and complications. Results: The mean follow-up was 41 months (range 12 to 81 months). There were no intraoperative complications. Recurrence of the lesion was seen in three eyes (5.36%). There were no other postoperative complications such as graft detachment, or formation of dellen or granulomas. Conclusion: Conjunctival autograft fixation using bipolar electrocautery seems to be a fast, costly and safe procedure that can be applied in most cases of pterygium surgery.

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“…It also reduces the surgery time, is simple, economical and avoids disadvantages of other methods of conjunctival autografting. 3 In pterygium surgery mitomycin-c and 5-fluorouracil are used as an adjunct in several modalities like preoperative injection, intraoperative and postoperative application to prevent recurrence. 4,5,6 Both the agents prevents pterygium recurrence by inhibiting fibroblast proliferation and contraction at the level of episclera.…”

Section: Introductionmentioning

confidence: 99%

Two Newer Methods of Pterygium Surgery- A Comparative Study

Atnoor¹,

Pandhare²,

Bhosale³

2018

jebmh

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Conjunctival limbal autograft transplantation in pterygium surgery by natural haemostasis

Cited by 3 publications

References 9 publications

Ensayo clínico controlado aleatorio de dos técnicas quirúrgicas para pterigión primario en pacientes de la selva: cauterización versus sutura

Ensayo clínico controlado aleatorio de dos técnicas quirúrgicas para pterigión primario en pacientes de la selva: cauterización versus sutura

Pterygium Surgery with Conjunctival Autograft Fixation Using Bipolar Electrocauterization

Two Newer Methods of Pterygium Surgery- A Comparative Study

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