Strabismus Surgery Using the Intraoperative Adjustable Suture Method Under Anesthesia With Propofol

Adjustable suture strabismus surgery in infants and children

“…Surgeons used adjustment in the immediate postoperative period have tended to recommend either using subTenon's ropivacaine to minimize the postoperative pain 10 or conscious sedation or anesthesia using midazolam or propofol. 11,12 Another way to minimize maneuvers is to use one of several optionally adjustable techniques. Saunders and O'Neil 13 describe a way to avoid tying the knot for those who do not need adjustment.…”

Adjustable sutures in children using a modified technique

“…6 Techniques have been developed to make the manipulation after the primary surgery easier. Several investigators have described a technique in which the postoperative adjustment takes place in the operating room immediately after surgery with the use of conscious sedation [7][8][9] or under topical anesthesia. 10 Delaying the adjustment until the next day can decrease the nausea associated with adjustment.…”

Comparison of the immediate with the 24-hour postoperative prism and cover measurements in adjustable muscle surgery: Is immediate postoperative adjustment reliable?

“…Also, it is known to have antiemetic properties. 16 Remifentanil is a mu-opioid receptor with a half-life of 3 min and an elimination half-time of less or equal to 10 min. 17 With the use of total intravenous anesthesia remifentanil-propofol and coinduction with midazolam, it is possible to achieve hemodynamic stability of patients during surgery.…”