Clinical Publications

Clinical Publications









OC3

Effectiveness of compression of myometrium and occlusion of uterine artery by COMOC-MG suture in management of atonic postpartum hemorrhage

Research Article

Trupangi J Chaudhari

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This prospective interventional study aimed to assess the effectiveness of the compression of myometrium and occlusion of uterine artery by COMOC-MG suture technique in managing atonic PPH. The study enrolled 100 pregnant women undergoing complicated caesarean or vaginal deliveries. The COMOC-MG suture technique was employed for the study group, while the control group received standard atonic PPH management. Outcomes included success rates, blood transfusion needs, complications, and mortality. COMOC-MG group exhibited higher success rates in normal (100%) and cesarean deliveries (95.3%) compared to the control group (72.7% and 60.7%, respectively). Lower blood transfusion needs (34% vs. 48%) and fewer complications were observed in the COMOC-MG group. The study suggests that COMOC-MG suture technique is effective in managing atonic PPH, showing superior success rates and potentially reducing blood transfusion needs.

NACF2

Revision of Failed Medial Meniscus Posterior Root Repair: A Case Report

Research Article

Rinju Krishnan, Sunil Lakshmipura Krishnamurthy, Rahul Shah, Abhey Wasdev, Likhith Theodore, Rajkumar S Amaravathi

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A 45-year-old female presented with the complaints of left knee pain and difficulty in walking. Clinical and radiological examinations revealed a re-tear of the medial meniscus root with a non-anatomic tibial tunnel. She then underwent arthroscopic revision root repair surgery. During the repair of (MMPRT) Medial Meniscus Posterior Root Tear no. 2-0 fiber wire (Healthium Medtech Limited) was loaded onto the self-retrieving suture passing device. The torn medial meniscus root was then captured by taking the first bite 5mm from the edge of the torn end. Later, no. 2-0 fiber wire was railroaded with no. 2-fiber wire (Healthium Medtech Limited), and a meniscal cinch loop was placed.

NATS14

A clinico-histological comparative evaluation of healing of periodontal flaps when approximated with silk sutures and n-butyl cyanoacrylate

Research Article

Himanshu Aeran, Amrinder Singh Tuli, Ila Sharma

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This randomized clinico-histological study aims to compare the healing of modified flap operation when approximated with Silk suture and N-butyl cyanoacrylate bioadhesive. Thirty patients were recruited in this clinico-histological study. In Group A, surgical site was approximated by 3-0 black braided silk sutures (Trusilk, Healthium Medtech Limited) and in Group B, N-butyl cyanoacrylate bioadhesive (Epiclos) was used by driplets for flap approximation. As per the results of this study, approximation of periodontal flap using silk suture and N-butyl-cyanoacrylate (bioadhesive) are effective in reducing the GI scores, PMA index scores and TQHPI index scores. On histological examination, number of inflammatory cells and vascularity is more in silk group as compared to bioadhesive group, whereas connective tissue fibers are more dense in bioadhesive group.

ATS6

Transnasal Extraction of Mesiodens and Guided Eruption of Unusual Impacted Central Incisor: A Case Report and Review of Literature

Research Article

Senthil Kumar, Arun Kumar, Prasad, Davidson Rajiah, Deepa

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A 13-year-old male with a missing upper left central incisor was diagnosed with an impacted and inverted tooth (21) and a horizontally impacted mesiodens. A transnasal surgical approach was chosen under general anesthesia due to the mesiodens proximity to the nasal floor. Following mesiodens removal, Platelet Rich Fibrin (PRF) was used to regenerate alveolar bone support and guide the eruption of impacted 21. Closure was done with 3-0 polyglactin-910 sutures (Healthium Medtech Limited). Subsequent follow-ups showed successful bone formation and guided eruption of the central incisor 21 after 1 year and 5 months.

NATS17

Abdominal Evisceration due to Dog bite and its Surgical correction in a Cat

Research Article

D. Bhowmick, A. Shahi and F. De Souza

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A cat presented with abdominal evisceration following a dog bite, displaying signs of dullness and decreased appetite. The eviscerated intestinal loops were determined to be viable, and anti-rabies post-bite vaccine was administered. Stabilization involved intravenous administration of dextrose normal saline, Moxel-Da, Isoflupredone, and Melonexb. Surgical intervention included decontamination of the eviscerated mass, extension of the abdominal rent, replacement of the mass into the peritoneal cavity, lavage, and closure with simple continuous and interrupted sutures using chromic catgut No-0. Trusilk sutures were utilized for subcutaneous and skin closure. Despite being a stray cat, the patient experienced an uneventful recovery after the operation.

NATS16

Caesarean Section after Faulty Handling in a Ewe

Research Article

Vimalraj Padayatchiar Govindan

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In this case, a two-and-a-half-year-old ewe presented with dystocia, exhibiting signs of dehydration, dullness, and inappetence. Emergency caesarian section was performed after unsuccessful attempts to deliver the dead lamb due to malposition. The surgical procedure involved thorough aseptic measures, general and local anesthesia, and intravenous support with Ringer's lactate. The uterus, housing a male fetus with three legs (one pulled off due to laymen handling), was carefully incised on the greater curvature. Following fetal removal, uterine lavage was performed, and the uterus was sutured using Truglyde 2-0 (Healthium Medtech Limited), a synthetic absorbable suture, in a continuous inverting pattern. Abdominal muscles were sutured with Trusilk- 0 (Healthium Medtech Limited), a non-absorbable suture, for skin closure. The ewe recovered successfully, receiving postoperative care including antibiotics and anti-inflammatory medications.

NATS15

Treatment of Gingival Fenestration using Mucoperiosteal Flap with Connective Tissue Graft: A Report of Two Cases

Research Article

Swati Jaglan, Shikha Tewari

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In this case report, a 30-year-old male presented with an esthetic concern in the mandibular left canine and premolar region. The patient exhibited a gingival fenestration in the mandibular left first premolar and a gingival recession in the left canine, attributed to his habit of holding iron nails with his teeth. Surgical intervention was undertaken to address the fenestration using a connective tissue graft (CTG) harvested using a single incision technique. TRUSILK, a 4-0 black silk suture by Healthium Medtech Private Limited, India, was employed for flap repositioning and securing. Post-operative care included antibiotic and analgesic medications, along with chlorhexidine mouthwash. The patient underwent regular follow-ups, demonstrating successful closure of the fenestration and gingival healing.

NATS13

A Comparison Between the Effectiveness of Isoamyl 2-Cyanoacrylate Tissue Adhesive and Silk Sutures in Wound Closure Following Minor Oral Surgical Procedures: A Prospective Clinical Study

Research Article

Javed Akhter, Sangita Kalita, Rohit Goyal, Pooja Jaiswal, Karthikeyan Ramalingam, Divya Yadav

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Fifty patients who needed a minor oral surgical operation under local anesthesia from the Department of Oral and Maxillofacial Surgery were recruited for this prospective clinical trial. Two groups were created from the sample of 50 patients in this investigation. An intra-oral mucosal incision was closed in one group using a 3-0 silk suture (Trusilk, Healthium Medtech Limited) and in the second using two drops of IAC. An accurate approximation of the incised edges was used to avoid leaving any gaps between them. Parameters such as the time taken for closure, pain, bleeding, swelling, mouth opening, wound dehiscence, wound infection, and local ulceration were evaluated in this study.

NATS12

Congenital Hydrocephalus in a Calf and its Surgical Treatment: A Case Report

Research Article

R Saini, SK Sharma, PR Aziz, LA Mir, R Pooniya

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A day-old female cattle-calf with congenital hydrocephalus presented neurological symptoms, including a dome-shaped skull, weakness, poor suckling reflex, head tremors, and convulsions. Preoperative treatment involved intravenous Mannitol for reducing intracranial pressure. A surgical procedure was performed to drain fluid from the subdural space, remove excess skin, and close the incision with Trusilk no. 1 (Healthium Medtech Limited) in a horizontal mattress pattern. Postoperatively, the calf received medication and antiseptic dressing, showing uneventful recovery within 10 days.

NATS11

Comparative Evaluation of Suturing Techniques, Skin Staples and Surgical Glue for the Treatment of Auricular Hematoma in Dogs

Research Article

Hafiz Muhammad Safwan, Ayesha Safdar Chudhary, Muhammad Kashif Maan, Syed Wasim Abbas, Ghulam Abbas and Saad Nasir

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In this study involving fifteen adult dogs with auricular hematomas, irrespective of breed and sex, three treatment groups (A, B, and C) were established for comparative evaluation. Dogs in each group were sedated and treated using different techniques: conventional suturing in group A, skin staples in group B, and surgical glue in group C. The procedures involved incisional techniques, draining blood, removing fibrin clots, and flushing the hematoma cavity. Absorbable silk (TRUSILK-1, Healthium Medtech Limited) was used in group A, extended through the skin (0.75 to 1 cm) on the incision, attaching the skin to the underlying cartilage after cavity was flushed off using sterile saline. Evaluation parameters included closure time, cosmetic appearance, and healing time.

NATS10

Clinical Application and Evaluation of Specialised Ring Fixators for the Management of Upper and Lower Limb Bone Fractures in Dogs

Research Article

Rohit Kumar Sharma, Anil Kumar Bishnoi, Manu Prabh Sharma and Praveen Bishnoi

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The study conducted at the Department of Veterinary Surgery and Radiology, RAJUVAS, Bikaner, focused on nine clinical cases of dogs with fractures, considering age, breed, and sex variations. The objectives included evaluating a fabricated fixator's assembly and assessing fracture healing through clinical and radiographic means. The pre-operative phase involved clinical examinations, radiographs, and neurological evaluations. The specialized ring fixators, including semicircular and hybrid ESF-systems, were employed for surgical procedures, with details on anesthesia, pinning techniques, and fixation methods provided. The study emphasizes the importance of careful planning and application of these fixators for successful fracture management in dogs. The closure of skin incisions involved the use of braided Polyglactin 910 (Trusynth, Healthium Medtech Limited) for muscles and fascia, and braided silk (Trusilk, Healthium Medtech Limited) for the skin.

NATS9

Socket Preservation Using Autogenous Bone Graft and Dentin Autograft after Surgical Removal of Impacted Mandibular third Molar – A Split-Mouth Study Design

Research Article

Priyanka Sinder Gupta, Prashant Ashok Punde, Kumar Nilesh, Pankaj Bajirao Patil, Shrenik Chouradiya, Riddhi Hemant Mahalle

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The study conducted at the Department of Oral and Maxillofacial Surgery. The prospective, comparative, clinical study, conducted from January 2020 to June 2021, focused on patients aged 18 to 40 with bilaterally impacted third molars meeting specific criteria. Autogenous dentin grafts were prepared by grinding extracted teeth and processing the particulate through a sieve and basic alcohol solution. The grafts were then placed in extraction sockets, secured with an absorbable collagen membrane, and the sites closed using 3‑0 black braided silk suture (Healthium Medtech Limited).

NATS8

Comparative Evaluation of Tissue Response of MTA and Portland Cement with Three Radiopacifying Agents: An Animal Study

Research Article

Muniappan H Sabari, Mahendran Kavitha, Shekar Shobana

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In an animal study with Wistar albino rats, polyethylene tubes loaded with different dental materials were implanted on the dorsal surface for periods of 7, 30, and 60 days. The implants included MTA, WPC mixed with radiopacifying agents, and variations like Bismuth oxide, Iodoform, and Zirconium dioxide. The surgical incisions were sutured with 3-0 silk (Trusilk Healthium Medtech Limited) and after experimental periods, excisional biopsies were performed and evaluated for inflammatory responses, scored based on the intensity of inflammation.

OTS6

Application of N-Butyl-2-Cyanoacrylate for the Treatment of Comminuted Fractures in the Anterior Wall of the Maxillary Sinus: A Prospective Clinical Study

Research Article

Abdul Hafeez. A, Sameeya Furmeen. S, Duraisamy Durairaj, M. Arulmozhi Rajasekaran, Davidson Rajiah

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A prospective study was done at a tertiary care teaching institute in India with a study population of ten patients in a single group. Out of all the study subjects, three patients had isolated maxillary sinus wall fractures, whereas the remaining seven had other associated facial fractures that required stable fixation with mini plates. The comminuted fractures of the anterior wall of the maxillary sinus were carefully reduced through an intra-oral approach, and n-butyl- 2-cyanoacrylate (Truseal, Healthium Medtech Limited) was applied over the edges of fractured segments. The segments were left undisturbed for one minute and closed with a 3-0 vicryl. The outcome variables, namely bone alignment visualised through computed tomography (CT) scan postoperatively, paresthesia or hypoesthesia of the infraorbital nerve, postoperative infection, and wound dehiscence, were noted at one-week, one-month, three-month, and six month intervals.

NATN15

Lip avulsion in a cat and its surgical treatment

Research Article

A Debbarma, SS Behera, J Dash, SR Mishra and M Behera

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A 3-year-old male cat with bilateral lower lip avulsion due to a fight was treated at the Department of Veterinary Surgery & Radiology. Under general anesthesia, the avulsed mandibular lip was repositioned and secured with horizontal mattress sutures using Trulon 2/0 (Healthium Medtech Limited). Postoperatively, the cat received antibiotics, Ceftriaxone, and supportive therapy, with Betadine ointment applied for infection prevention. After two weeks, the sutures were removed, and successful adhesion of the mandibular lip to the mandible was observed.

NATN14

Corneal ulcer management using human amniotic membrane in dogs: A report of 6 cases

Research Article

GA Vidhyashree, L Suresh, BN Nagaraja, KM Srinivasa Murthy, PT Ramesh and NM Rajashailesha

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The study involved six clinical cases of dogs with corneal ulcers, and human amniotic membrane transplantation was performed after confirming the ulcers through various diagnostic methods. The dogs were premedicated, anesthetized, and underwent surgery without intraoperative complications. Freeze-Dried Amniotic Membrane (FD-AM) was applied to the cornea and sutured with polyglactin 910, followed by temporary tarsorrhaphy using Trulon No. 2-0 (Healthium Medtech Limited). Postoperatively, dogs received moxifloxacin and flurbiprofen eye drops, and systemic antibiotics.

NATN13

Surgical removal of intestinal foreign bodies in a dog

Research Article

SS Behera, I Nath, A Debbarma, SS Patange and M Behera

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A 10-month-old male German Shepherd presented with a history of ingesting foreign bodies, including a nail and a marble stone. Radiographs confirmed their presence in the intestine, leading to the decision for surgical intervention. An enterotomy was performed to remove the foreign bodies, and the incisions were closed using chromic catgut. The peritonium, muscles and subcutaneous layer were closed with polyglactin 910 and skin was closed with synthetic monofilament nylon (Trulon, Healthium Medtech Limited). Postoperatively, the dog received antibiotics, pain management, and a gradual reintroduction of oral nutrition, resulting in an uneventful recovery.

NATN12

An unusual cause of secondary uterine inertia due to fetal anasarca in a Labrador bitch

Research Article

YD Hussaini, Jayachandra K, Sahadev A, Suchithra BR, Sadiq Khan M and Nikitha Prakash

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A three-year-old pluriparous Labrador bitch with dystocia due to secondary uterine inertia underwent a C-section at the Department of Veterinary Gynaecology and Obstetrics, Hebbal, Bengaluru. The large-sized fetuses obstructed the pelvic cavity, leading to the decision for surgical intervention. The surgical procedure involved exteriorizing the gravid horns, careful removal of three dead fetuses, and closure of the uterine incision using Lambert’s and Cushing’s suture pattern with chromic catgut No 2-0. Peritonium and subcutaneous suture was closed using Vicryl No-0 and skin was opposed with Trulon No-0 (Healthium Medtech Limited). Post-surgery, the dam received medications and supplementation, recovering uneventfully by day 10.

NATN11

Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum

Research Article

Kriti Mehrotra, Satish Saswat Majhi, Triveni M.G, D S Mehta

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A 25-year-old male with an increasing midline space between upper central incisors underwent a Z-plasty frenectomy at Bapuji Dental College & Hospital. The patient's thick aberrant upper labial frenum, causing tension and a short vestibule, was treated with a 'Z' shaped incision. The flaps were stabilized with interrupted sutures using (5-0) trulon suture material of Healthium Medtech Limited, and the postoperative follow-up after one month showed uneventful healing without hypertrophic scar formation.

MTM12

A Prospective Clinical Study of Mesh Size Required for Open Inguinal Hernia Repair

Research Article

Rahul Choudhary, Dharamanjai Kumar Sharma, Shri Ram, Hina Sharma

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This prospective clinical study, conducted at the Department of General Surgery, Rabindra Nath Tagore Medical College in India, involved 25 adult patients undergoing open inguinal mesh hernioplasty between August 2019 and July 2020. The study aimed to assess the mesh size used in hernia repairs. A standardized approach involving the same company's commercially available polypropylene mesh (15×7.5 cm², Healthium Medtech Limited) was utilized, with trimmed portions of the mesh weighed to estimate the applied mesh area, allowing for a novel method to determine the maximum area of mesh required in the study population. It was found that areas of mesh actually applied were found to be smaller than the standard, commercially available size of mesh for inguinal hernia repair.

ATG13

Effects of Caponization on Growth, Meat Production, Certain Phenotypic Trait, and Hematobiochemical Indices in Narragansett Turkey Toms

Research Article

Kaniz Sharmin, Mohammad Raguib Munif, Mirza Abul Hashim, Md. Rafiqul Alam

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The experiment, approved by the Animal Welfare and Experimentation Ethics Committee of Bangladesh Agricultural University, involved 36 healthy turkey toms distributed into control and surgically caponized groups. The caponization procedure included local anesthesia, a 3 cm incision, and removal of testes using caponizing forceps. The skin wounds were closed with a single stitch using chromic catgut of size 1-0 (Trugut, Healthium Medtech Limited, Bangalore, India). The birds were housed, vaccinated, dewormed, and provided with a standard poultry feed, aiming to assess the effects of caponization on turkey toms over a 4-week period.

ATG12

Schistosomus reflexus dystocia in a crossbred dairy cow

Research Article

Mohammad Raguib Munif, Mohammad Musharraf Uddin Bhuiyan, Mst. Sanjida Safawat, Md. Sabuj Rahman

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A 7-year-old crossbred Friesian cow, in her second parity with prolonged gestation, presented with marked dystocia. Clinical examination revealed an obstructed anterior presentation of the fetus, leading to the decision for a cesarean section (CS). The CS procedure involved paravertebral anesthesia, a dorsoventral incision, and a lembert suturing technique using polyglactin 910 of size 1, followed by abdominal closure with chromic catgut (Trugut™) of Healthium Medtech Limited and skin approximation with nylon thread. The cow recovered promptly post-surgery.

ATG11

Secondary implant stabilization using a modified microplate fixation technique

Research Article

Mohamed Hamdy Helal, Moustafa Nabil Aboushelib

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The study, approved by the ethics committee of Tanta University, involved 12 male beagle dogs with osteotomy sites in their femurs, each receiving a 4mm diameter, 10mm long dental implant. The surgical procedure included prophylactic antibiotics, anesthesia, and implant insertion, followed by fixation with a micro plate fixation bar. Trugut, a 4:0 catgut suture from Healthium Medtech Limited, India, was used for muscle and fascia closure. After 8 weeks, reverse torque tests and histomorphometry were conducted, demonstrating the effectiveness of the implant stabilization technique.

ATG10

Surgical repair of orocutaneous fistula in the left submandibular region of a day-old calf with ectopic incisors

Pre-Clinical Article

Mohammad Raguib Munif

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"A day-old calf with a congenital oral-cutaneous fistula (OCF) and four erupted incisor teeth underwent reconstructive surgery for closure of the abnormal passage. The surgical repair involved scrapping and closure of the oval-shaped opening connecting the oral mucosa to the external surface, as well as the removal of the abnormal incisor teeth within the groove. Polyglactin 910 (Vicryl) and chromic catgut (Trugut) sutures of Healthium Medtech Limited were used for tract closure, and postoperative care included antibiotics, analgesics, and intravenous fluids. The calf showed successful recovery, resumed normal swallowing, and exhibited no complications during the follow-up period."

ATG9

Caudal Thoracic Esophageal Obstruction in a HF Cross Bred Cow : A Case Report

Research Article

Naveen M, Santhosh K. M, Mahesh V, Mahesh S Akashi and Prashanth S Bagalakote

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" A 7-year-old HF crossbred cow presented with symptoms suggestive of caudal thoracic esophageal obstruction, possibly due to the ingestion of a large maize cob. The animal, previously treated for foot-and-mouth disease, underwent aseptic rumenotomy. Trugut, a catgut No.2 from Healthium Medtech Limited, Bangalore, was used for suturing the rumen, peritoneum, transverse abdominis muscle, oblique muscles, and skin. Post-operative care included Meloxicam and Enrofloxacin administration, oral feeding restriction initially with intravenous fluids, and subsequent reintroduction of feed and water, resulting in an uneventful recovery."

ATGF4

Development of Biocompatible Ciprofloxacin–Gold Nanoparticle Coated Sutures for Surgical Site Infections

Research Article

Sunitha Sampathi, Pankaj Kumar Tiriya, Sujatha Dodoala, Vijayabhaskarreddy Junnuthula, and Sathish Dyawanapelly

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In this study, ciprofloxacin hydrochloride (CPH)-loaded gold nanoparticles were developed and coated onto sterile surgical sutures using an adsorption technique, followed by rigidization via ionotropic crosslinking with sodium alginate. Characterization through UV-visible spectroscopy, infrared spectroscopy, and scanning electron microscopy confirmed the formation of nanosized particles with a monodispersed system. Antibiotic-coated sutures demonstrated enhanced efficacy against both Gram-negative and Gram-positive bacteria, with a twofold higher zone of inhibition compared to plain drug-coated sutures. The Truglyde Fast (Healthium Medtech Limited) surgical sutures were employed in the coating process, and the resulting antibiotic-coated sutures exhibited prolonged drug release.

AT16

Mitigation of Fibrosis after Myocardial Infarction in Rats by Using a Porcine Cholecyst Extracellular Matrix

Research Article

Reshma S Nair, Praveen K Sobhan, Sachin J Shenoy, Mukund A Prabhu, Vikas Kumar, Surya Ramachandran, and Thapasimuthu V Anilkumar

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In this study, young adult Sprague–Dawley rats were subjected to myocardial infarction (MI) induction under approved ethical guidelines. The surgery involved tracheostomy, thoracotomy, and ligation of the left anterior descending artery. A qualified veterinarian performed the procedure on six rats, with three receiving a graft of lyophilized sterile sheet of C-ECM (extracellular matrix) using sutures, while the other three served as the control group without a graft. The muscle layer (chest) was closed using 3-0 Truglyde (Healthium Medtech Limited) absorbable sutures for the muscle layer, and observations and postoperative care were conducted to ensure the well-being of the rats.

AT15

Laparo-hysterotomy for Management of Uterine Torsion in a Jafarabadi buffalo

Research Article

D.N. Borakhatariya, A.B. Gadara and H.D. Gadhvi

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In this case, a seven-year-old pluriparous Jafarabadi buffalo in her fourth lactation presented with symptoms of abdominal straining, dullness, depression, and elevated rectal temperature, indicating dystocia due to left uterine torsion exceeding 180 degrees. Initial attempts to detort using modified Schaffer’s method were unsuccessful after three rolls, prompting a decision to perform a C-section or laparo-hysterotomy. The surgical procedure involved aseptic preparation, local and epidural anesthesia, a vertical oblique incision, exteriorization of the uterus, removal of a dead foetus, uterine flushing, and closure with truglyde (Healthium Medtech Limited) absorbable suture material. Post-operatively, the buffalo received intravenous fluids, vitamins, analgesics, and antibiotics, leading to an uneventful recovery.

AK9

Periosteum-Augmented Soft-Tissue Graft for Anterior Cruciate Ligament Reconstruction

Research Article

Tarun Desai, Surendra Babu S, Kaushik Y. S, Mevin Mathew Nedumparampil, Akhshay John George, Padmanaban Sekaran, Anoop Pilar, and Rajkumar S. Amaravathi

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The described technique involves hamstring graft ACL reconstruction, with periosteum harvesting and incorporation to enhance graft stability. The surgical procedure includes a meticulous approach to graft and periosteum harvest, tunnel preparation, and graft fixation. The use of 2-0 FibreWire loop (Healthium Medtech Ltd., Peenya, Bengaluru, Karnataka, India) for whip-stitching, quadrupling the graft over a fixed button loop (25 mm) (INFILOOP; Healthium Medtech Ltd.), and employing a biphasic tri-calcium phosphate screw (Helysis; Healthium Medtech Ltd.) for tibial fixation are crucial elements in achieving successful outcomes. Postoperative rehabilitation follows a criteria-based protocol focusing on weight-bearing, early range of motion, and functional milestones over a 9-month period.

NACF4

Functional Outcome Following Concurrent Medial Meniscus Posterior Horn Root Repair during High Tibial Osteotomy in Early Medial Compartment Osteoarthritis

Research Article

Anoop Pilar, Madan Mohan M, Sunil L K, Surendra Babu S, Padmanabhan Sekaran, Rajkumar S. Amaravathi

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In a longitudinal observational study conducted between 2016 and 2021, nine patients with concurrent posterior horn root tear (MMPHRT) and grade 4 Kellgren & Lawrence osteoarthritic changes underwent open medial wedge high tibial osteotomy (OWHTO) along with arthroscopic transosseous transtibial single tunnel pullout repair for meniscal root reconstruction. Patients presented with symptoms such as a popping noise, pain, difficulty sitting cross-legged, and disturbed sleep. Surgical intervention involved meticulous planning using radiographs, precise osteotomy, and meniscal root repair through arthroscopy, followed by a structured rehabilitation program. Clinical and radiographic assessments, including Lysholm and IKDC scores, were conducted at 6 months and 1 year postoperatively to evaluate outcomes and progression of osteoarthritis. No. 2 nonabsorbable suture (Healthium Pvt ltd, Peenya, BLR) was utilized during the meniscal root repair as part of the surgical technique.

HH80

Are There Differences Between Patients with Extreme Stenosis and Non-extreme Stenosis in Terms of Pain, Function or Complications After Spinal Decompression Using a Tubular Retractor System?

Research Article

Arvind G. Kulkarni, Swaroop Das, Tushar S. Kunder

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"Between 2007 and 2017, a surgeon performed micro-tubular decompression in 325 patients with single-level lumbar spinal stenosis using the METRx™ system. Extreme stenosis (43% of cases) was defined by specific MRI criteria. Patients underwent partial extraction therapy, and the surgical procedure involved a meticulous and complete decompression technique. Epidural bleeding was controlled using a combination of bipolar cautery, bone wax, and STERISPON® gelatin sponge (Healthium Medtech Limited)."

HH79

Auto-Craniotomy With Leaves Implantation on the Surface of the Brain Following a Road Traffic Accident

Research Article

Rajiv Neupane, Dipak K. Yadav, Samiksha Raut, Prakash Kafle

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A 39-year-old married male had RTI after slipping off a motorcycle while riding without a helmet on a steep road. Local examination revealed a de-gloving scalp laceration with a bilateral frontal bone fracture traversing the superior sagittal sinus. A computed tomography (CT) scan of the head demonstrated the frontal autocraniotomy involving the superior sagittal sinus and frontal air sinus. The patient was started on prophylactic antibiotics and anticonvulsants. A thorough cleaning of the wound was done in the operating room. A lacerated wound on the left side of the scalp was extended, and an autocraniotomized bone fragment was removed. Thorough irrigation with hydrogen peroxide at 3% concentration and normal saline was done. The superior sagittal sinus tear was repaired and packed with Surgicel and Abgel (Healthium Medtech Limited). The frontal air sinus was also packed with Abgel and bone wax. Hemostasis was obtained, and the bone was then fixed with a miniplate and screws. A sub-galeal drain was kept, and the scalp was closed in layers. The patient was continued on antibiotics and antiepileptic medications post-operatively.

HH78

Partial extraction therapy: A case of interproximal shield in Posterior region

Research Article

Aniket Chatterjee and Debajyoti Mondal

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" A middle-aged male with a fractured and non-restorable left upper posterior tooth (#26) reported pain persisting for six months. Extraction was recommended, and due to time constraints, a single-stage implant placement was planned after applying partial extraction therapy (PET) to preserve inter-radicular and interdental crestal bone. The distal and palatal roots were atraumatically extracted, and the mesial root underwent through-and-through sectioning for subsequent implant placement (DENTIUM NR Line, 4.3mm diameter, 11mm length) with a healing abutment. The socket was filled with absorbable gelatin sponge (ABGEL, Healthium Medtech Limited), and the patient was advised post-operative care, including antibiotics (Amoxicillin, 500mg TDS) for five days."

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10216382/

HH77

Potential of Oral Cavity Stem Cells for Bone Regeneration: A Scoping Review

Research Article

Josefa Alarcón-Apablaza, Ruth Prieto, Mariana Rojas and Ramón Fuentes

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In this review article;in a study involving a 27-year-old man with periodontal intrabony defects, dental ligament-derived stem cells (PDLSCs) from the third molar were utilized along with the Abgel®©TM gelatin sponge (Healthium Medtech Limited) as a scaffold in the treatment group. The one-year follow-up demonstrated a remarkable 6 mm gain in attachment level, measured from a fixed reference point, and minimal change in the gingival marginal position. Additionally, radiodensity changes indicated improvement in newly formed bone within the defect area. In another study involving 28 patients with periodontal intrabony defects, PDLSCs harvested from the third molar and alveolar cavity were applied with Abgel®©TM gelatin sponge in the treatment group (T) during open flap debridement (OFD). The results revealed a significant reduction in clinical parameters for both the treatment (T) and control (C) groups, with statistically significant improvement in defect density in the T group. Furthermore, PDLSC transplantation demonstrated a significant gain in clinical attachment level (CAL), and the measurement of the Cementoenamel junction (CEJ) at the alveolar bone crest was higher in the treatment group.

HH76

Modified Coronally Advanced Tunnel (MCAT) Technique with Subepithelial Connective Tissue Graft (SCTG): A Case Report

Research Article

Ishani Gaikwad, Priya Lele, Vidya Dodwad, Sarah Mariam

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A 27-year-old male with gingival recession and inadequate vestibular depth underwent LASER-assisted vestibuloplasty in the first stage using NovoLase Gold soft tissue diode laser (810nm, 2.0 W) at Bharati Vidyapeeth Dental College. The procedure achieved a depth of 8mm, with subsequent recovery and expansion of vestibular depth to 6mm after 30 days. In the second stage, performed three months later, meticulous root planing and Modified Coronally Advanced Tunnel (MCAT) procedure were undertaken, including a connective tissue graft from the palate. AbGel, a hemostatic agent, was placed at the donor site. The graft insertion point in the subperiosteal tunnel was secured with sling sutures around involved teeth, resulting in a final flap position 1mm coronal to the Cemento-Enamel Junction (CEJ).

HH75

Endoscopic optic nerve decompression for direct traumatic optic neuropathy: our 10 years experience

Research Article

Vivek Sasindran and Mithra John

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In the last 10 years, 31 patients with traumatic optic neuropathy - direct type; of which one patient had bilateral direct type traumatic optic neuropathy. So totally 32 patients underwent a surgical procedure under general anesthesia, extensive sinus exploration was conducted with wide middle meatal antrostomy and ethmoidectomy. The sphenoid sinus was denuded for better visualization due to distorted anatomy from fractures. Decompression involved removing fractured lamina papyracea, exposing the optic tubercle, and fenestrating the optic nerve sheath in selected cases. Nasal packings were avoided, and if needed, Surgicel® and AbGel® (Healthium Medtech Limited) were used without contact with the decompressed optic nerve. Postoperative care included high-dose systemic steroids, ophthalmological examination, and assessment of visual improvement 24 hours after surgery.

HH74

Incidence of complications after the surgical removal of impacted mandibular third molars: A single center retrospective study

Research Article

Prerana G , Deepa Tantry, Kumar Sougata, Sree Chandana Shreya Sivalanka

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The study included 250 subjects who underwent mandibular third molar extraction between January 2016 and February 2020. The majority were females (52%) with a mean age of 34 years. Impaction occurred more on the left side (51.4%), with mesioangular impaction being the most common (48.4%). Complications, observed in 7.6% of cases, were significantly associated with gender, age groups, spatial relationship, and medical history. Muscle spasm, dry socket, and temporary neurosensory changes were among the post-operative complications, with gel foam (Abgel, Healthium Medtech Limited) effectively managing intra-operative bleeding. Intra-operative complications included root tip fracture and profuse bleeding, both managed appropriately.

HH73

Extra dural hematoma: Analysis of outcome

Research Article

Mukesh Patel, Himanshu Raval

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In a one-year period at SVP Hospital, Ahmedabad, 70 cases of epidural hematoma (EDH) were admitted, primarily affecting males (85.71%) with a mean age of 38 years. Road traffic accidents (RTA) were the leading cause (78.57%), followed by accidental falls and assaults. Surgical intervention was performed in 42.85% of cases, with 57.15% managed conservatively. Outcomes were favorable for those with EDH volume <30 ml, with all patients having a Glasgow Outcome Scale (GOS) score of 5, while patients with EDH volume ≥30 ml showed varied outcomes, including seven deaths. AbGel, a gelatin sponge, was utilized during surgery for coagulation, contributing to successful hemostasis.

HH72

Perceptual learning deficits mediated by somatostatin releasing inhibitory interneurons of olfactory bulb in an early life stress mouse model

Research Article

Meenakshi Pardasani, Anantha Maharasi Ramakrishnan, Sarang Mahajan, Meher Kantroo, Eleanor McGowan, Susobhan Das, Priyadharshini Srikanth, Sanyukta Pandey and Nixon M. Abraham

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In optogenetic behavioral experiments, headpost implantations were performed on control and early-life stress (ELS) groups of mice aged P50-P60. Anesthesia was induced using a combination of Ketamine and Xylazine, and a stereotactic instrument was used for precise mounting. After exposing the skull, the periosteum was gently removed, and the skull surface was cleaned and etched before applying dental primer and cement for headpost attachment. Following a 2-day recovery, mice underwent cranial window creation and LED implantation surgery. A biopsy punch and hand-held drill were used to create a thinned bone groove, forming the cranial window over the olfactory bulb (OB). Gelfoam (AbGel, Healthium Medtech Limited) was applied to control bleeding, and a glass coverslip was sealed with dental acrylic cement. The LED implantation followed 4-6 days post-surgery, fixed in place with dental cement. Behavioral experiments commenced 3-5 days after the surgical procedures, ensuring stability and recovery.

HH71

Dentigerous cyst associated with complex odontoma

Research Article

Ankit Singh, Darshana Diliprao Gawande, Vinay Kharsan, Ramnik Singh Madan, Manjula V, Shruti Vyas

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A 15-year-old girl presented with a 20-day history of pus discharge on her left cheek, stemming from a lower left facial swelling. Despite prior dental clinic treatment, the condition persisted. Clinical examination revealed a diffuse, non-tender swelling with an extraoral draining sinus and palpable left submandibular lymph node. Surgical intervention, including extraction of impacted 3rd molar (38), bone removal, and cavity packing with AbGel (Healthium Medtech Limited), was performed under general anesthesia. The histopathological examination confirmed a complex odontome with a dentigerous cyst associated with the impacted tooth. The postoperative period was uneventful.

HH70

Worrisome Implications of Accidental Injection of Colourless Corrosive Chemicals Intraorally into Perioral Tissue Spaces: A Severe Negligence

Research Article

Pulkit Khandelwal, Neha Hajira

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In this study review of literature of accidental injuries of different solutions were reported. Among them in one of the study, Hydrogen peroxide was injected for a posterior superior alveolar nerve block during a crown-cutting procedure for an upper molar, resulting in exposed necrotic bone in the left palate. Management included the creation of an acrylic splint for maxilla protection, sequestrectomy, and the use of Absorbable Gelatin Sponge (AbGel) to control bleeding and facilitate healing. Regular irrigation with betadine-saline over three to four days led to complete bone epithelization and healing within three weeks.

HH69

Star-Polymer Unimolecular Micelles for Brain Specific Delivery of Anticancer Drug

Research Article

Mehak Malhotra, Meenakshi Pardasani, Priyadharshini Srikanth, Nixon Abraham, Manickam jayakannan

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Female balb/c mice (8–12 weeks old) were divided into three groups for in vivo experiments, receiving intraperitoneal injections of free DOX, SB-60 + DOX, or SB-60. A control group received PBS. DOX dosage for biodistribution was 2 mg/kg, and blood samples were collected at various time points. Mice were sacrificed after 24 hours for organ collection. All procedures followed ethical guidelines, including the use of AbGel (Healthium Medtech Limited) for hemostasis when needed, and were approved by the Institutional Animal Ethics Committee and CPCSEA in accordance with Indian regulations.

HH68

A Rare Anatomical Variation of Upper Multiple Impacted Third Molar

Research Article

Bhavesh Dhoke, Prashansa Gaikwad, Sidhanti Nyahatkar

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A 35‑year‑old female patient reported with a history of pain in the upper right back region of the jaw for 1 month. After examination, the surgical extraction was planned with the upper right third molar. After the extraction bleeding was arrested by the application of firm pressure with gauze and Abgel (Healthium Medtech Limited) was placed within the socket which was thought to maintain the hemostasis and additionally provide framework for osteogenesis. The immediate complications were evaluated. The closure was done by approximating the buccal and the palatal flap and suturing with 3–0 silk.

HH67

Comparison of Causes of Infective and Non-Infective Epistaxis in the Kolhan Belt Population of Jharkhand

Research Article

Sanjay Kumar, Bhimsen Hansda, Rohit Kumar Jha

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90 patients aged between 10 to 58 years regularly visiting to ENT department of MGM Medical College hospital Jamshedpur were studied. The patients presenting epistaxis were selected for the study. Treatment of patients with epistaxis included conservative or non-surgical treatment and surgical or interventional treatment. All the patients were initially treated conservatively and surgical treatment was considered only when conservative method failed to control the epistaxis of the patients with bleeding disorders packed with absorbable gelatine sponge (Abgel, Healthium Medtech Limited).

HH66

Spontaneous renal allograft rupture due to acute rejection in early post‑transplant period – A case report

Research Article

Suraj Godara, Karan Saraf

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In this case report, 30‑year‑old male who received a living donor kidney transplant and had spontaneous graft rupture in early post-transplant period due to acute rejection. Graft was successfully repaired surgically by suturing with vicryl 1.0 and abgel applied, along with medical management and now the graft is functioning well.

HH65

Glanzmann Thrombasthenia: A Case Report of a Rare Inherited Coagulation Disorder Presenting with Traumatic Head Injury

Research Article

Vishal Chakat, Durga Prasad Bukka, Srinivas Rao Erigaisi,Shyam Sunder Anchuri

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A 32-year-old male patient presented with loss of consciousness to the emergency department after a serious traumatic head injury. Due to the head injury, the patient underwent radiological tests including a CT brain scan that revealed a right temporoparietal intracranial haematoma. The neurosurgeon immediately performed decompressive craniotomy surgery. After the surgery, repeat CT brain scan (plain) showed right-sided temporoparietal and frontal contusions with moderate mass effect, for which emergency re-exploration surgery was performed. During the emergency re-exploration, the surgeons evacuated the temporal intracranial haematoma but the frontal haematoma was deferred. At the time of surgery, there was another bout of uncontrolled bleeding that lasted for 1 hour despite compression with AbGel®©™ surgical cottonoids (Healthium Medtech Limited).

HH64

Oral Rehabilitation of Beta Thalassemia Patient Treated Chair-side – A Case Report

Research Article

Mansi Baviskar, Jasmin Winnier, Rachna Sharma, Akshaya Mudaliar, Miloni Sanghavi, Nikitha Balasubramanium

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A male child aged 8 years reported with the chief complaint of pain in the upper right back region of the jaw since 2 months. On the basis of the orthopantamogram, the treatment plan was formulated, which was done in an isolated chamber with use of personal protective wear - Extraction of 16 was done due to pulpal involvement and less than 1/3rd root development as observed on intra oral periapical radiograph, followed by 54, 52, 62, 64, 71. Post extraction absorbable gelatin sponge (AbGel - Healthium Medtech) was used to control bleeding from the extraction sockets.

HH63

A clinico radiological study of penetrating trauma abdomen with special reference to fire arm injury abdomen

Research Article

Ajay Anand, Hari Kesh Yadav, Rakesh Saxena, V. N. S. Yadav, R.D. Raman

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The present study was done in all patients of 'penetrating trauma abdomen" admitted to the Nehru hospital, B.R.D. Medical College, Gorakhpur from May 2009 to June 2010. This study includes only patients having peritoneal breach. In this study most common visceral injury due to penetrating trauma abdomen was small bowel (69.3%), colon (09.9%), mesenteric tear (09.9%), stomach (06.6%), vascular injury (03.3%) and liver injury in (03.3%). Of particular note is the case where, following the operative procedure, Abgel packing (Healthium Medtech Limited) was employed in a patient with liver injury (3.3%). In all cases operative finding were noted in detail. All the organs were explored to find out any visceral injuries, all patients were followed carefully and post operative complications if found were recorded.

HH62

A Rare Case of Large Paravaginal Cyst

Research Article

Suryaprabha, V, Ram Chandra, Ram Kumar and Daisy Prabhu

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A 44 year old female patient presented with complaints of menorrhagic cycles since 2 months, associated with pain, changing 4- 5 pads per day, not associated with clots, and foul smelling discharge. After examination, Explorative Laparotomy + Total Abdominal Hysterectomy + Vaginal Cystectomy was planned. During the procedure a transverse incision over posterior vaginal wall over mass was given then cyst was identified which was about 10 x 12cms size. Cyst wall was incised, pultaceous material with white plaques was drained. Intraoperatively thought of Inclusion cyst or dermoid macroscopically. After through wash with Betadine and Hydrogen peroxide Cyst wall was excised. Abgel (Healthium Medtech Limited) and Corrugate drain was kept in-situ and posterior vaginal wall was closed with Chromic catgut 1-0.

HH61

Micro lumbar discectomy: Review and case report

Research Article

Prakash Modha

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In this case report, Micro lumbar discectomy procedure is done under general anaesthesia. Skin incision was made then a lumbo-sacral fascia was cut with the help of electro cautery. Under the microscope paraspinal muscle was stripped off lamina with the help of periosteal dissector (Cobb’s dissector), upper 2/3rd of the lamina and medial part of the facet joint cut with bone scalpel. Sharp cutting incision was seen in lamina and medial facet. Square shaped incision was made in the disc with the help of No. 15 blade and disc is removed in piece meal or as a big piece if sequestrated. Haemostasis was achieved and patties were removed. Abgel (Healthium Medtech Limited) was put over the nerve root and depomedrol (Methyle prednisolone) 1 ml (40 mg) was sprinkled.

HH60

Platelet Rich Plasma Therapy in Congenital Sensorineural Hearing Loss: A Case Report

Research Article

Ganesh Singh Dharmshaktu, Ishwar Singh Dharmshaktu, Naveen Agarwal

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A 38-year-old-female homemaker presented with the complaint of pain and swelling at her right little fingertip for the last 5 months. During examining through a small lateral mid-sagittal incision, a thin, white-walled cyst with white cheesy material inside was revealed. The cyst burst and cheesy material were kept for the specimen for culture and biopsy, both following which the cyst was carefully removed and bone was curetted. This resulted in a soft-tissue void, and wrinkling and thinning of the skin over the pulp space were noted. A piece of a sterile commercial absorbable gelatin sponge or gel foam (AbGel, Healthium Medtech Pvt. Ltd., Mumbai, India) was introduced to fill the void, and the wound was closed with nylon sutures.

HH59

Intraosseous Epidermoid Inclusion Cyst Within the Distal Phalanx Managed by Excision and Filling the Void with Gel Foam: A Case Report

Research Article

Ganesh Singh Dharmshaktu, Ishwar Singh Dharmshaktu, Naveen Agarwal

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A 38-year-old-female homemaker presented with the complaint of pain and swelling at her right little fingertip for the last 5 months. During examining through a small lateral mid-sagittal incision, a thin, white-walled cyst with white cheesy material inside was revealed. The cyst burst and cheesy material were kept for the specimen for culture and biopsy, both following which the cyst was carefully removed and bone was curetted. This resulted in a soft-tissue void, and wrinkling and thinning of the skin over the pulp space were noted. A piece of a sterile commercial absorbable gelatin sponge or gel foam (AbGel, Healthium Medtech Pvt. Ltd., Mumbai, India) was introduced to fill the void, and the wound was closed with nylon sutures.

HH58

Role of diagnostic laparoscopy in blunt abdominal trauma

Research Article

P Amutha, Abinayaa PU, Aswathy Harikumar and Sree Lakshmi

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A prospective study was conducted in a tertiary care center with blunt trauma abdomen who underwent diagnostic laparoscopy. 30 patients were selected in this study. The most common mode of injury was vehicle collision. Out of 30 diagnostic laparoscopies,12 patients had solid organ injuries, 5 patients had bleeding with no organ injury, 2 patients had mesenteric vascular injury, 2 patients had small bowel perforation. There were no findings in laparoscopy in 7 patients. Laparoscopy was converted to open Laparotomy in 3 patients. Therapeutic Laparoscopy were done in 20 patients. In patients who had Grade I and II solid organ injuries hemostasis was achieved by using AbGel (Healthium Medtech Limited).

HH57

A case of periapical surgery: apicoectomy and obturation of the apex

Research Article

Priyanjit Saha, Padmasree Patowary Saha

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A 29 year old male patient reported with chief complaint of mild pain, swelling and mobility of tooth in upper front region of jaw since one month. After examination, Intentional root canal treatment of tooth 11,12,21,22,23 and 24 were planned along with Surgical enucleation of cystic lining. After the procedure cystic cavity filler up was done with PRF + Abgel (Healthium Medtech Limited).

HH56

Ridge Augmentation Using Autogenous Bone Graftfor Implant Site Development

Research Article

Deepthi V, Indu V, Baiju R M, Ankitha K, Nadeem AbdulRahman

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An 18-year-old male patient visited the Periodontics department at Govt. Dental College, Kottayam with a missing tooth in the upper front region and gave a history of trauma 4 days back following which he lost the tooth. After examination, implant supported restoration was planned. The surgical procedure was carried out under local anaesthesia. The donor site was exposed with a horizontal incision in the attached gingiva in relation to 31, 32, 33. The osteotomies were performed using piezo surgery unit (Acteon). The two horizontal cuts were performed first followed by the vertical cuts and the bone block was gently lifted using a chisel and mallet. Abgel (Healthium Medtech Limited) was used to achieve hemostasis and 5-0 vicryl was used for subcutaneous closure of the wound followed by 3-0 silk on the external surface.

HH55

Esthetic Rehabilitation Using a Modified Groper’s Appliance for a 3-year-old Child: A Unique Case Report

Research Article

Amil Joshi, Rachna Anand, Sanjana Kodical, Ishani Ratnaparkhi, Nikitha Balasubramanian, Miloni Sanghavi

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HH54

Closure of Oroantral Communication with Gelfoam and Collagen Membrane after Periapical Cyst Enucleation A Case Report

Research Article

A Senthil Kumar , C Prasad , Davidson Rajiah , P Kamalakannan , S Praveen Kumar

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A 32-year-old female patient reported with the complaint of swelling in relation to the left upper back tooth region for past three months and also complained of pain in left upper back tooth region for the past one month ago. Based on clinical and radiographic findings, patient was planned for periapical cyst enucleation under local anaesthesia. During surgery, The gelfoam (Absorbable gelatin sponge AbGel from Sri Gopal Krishna labs) and collagen membrane were used to close an oroantral communication, which was developed after periapical cyst enucleation. Gelfoam gave bulk to the material and collagen membrane helped to increase wound healing and arrest bleeding from surrounding soft tissue and primary closure was done with buccal advancement flap with 3-0 Mersilk.

HH53

A case of dentigerous cyst in a pediatric patient – With an insight into differential diagnostic entities

Research Article

K.K. Deepa, Anubhav Jannu, Mithun Kulambi, H.S. Shalini

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A 10 year old girl reported with the chief complaint of a asymptomatic swelling and difficulty in mastication on the right side of mandibular region since 3 months. Considering the interim diagnosis the preferred treatment option was the enucleation of the cyst. The surgical resection was done under general anesthesia. Complete removal of the cyst, along with the tooth attached to it was done. Cystic cavity did not show any vascular content or a cheesy material or clear fluid. The cystic cavity was packed with sterile Abgel (Healthium Medtech Limited) gauze to attain hemostasis and to inhibit hematoma formation followed by suturing (4-0 vicryl resorbable suture).

HH52

Management of Furcal and Subcrestal Perforation with a Bioactive Material – A Case Report

Research Article

Shikha Jaiswal, Sachin Gupta, Aleena Khan, Komal Kumari, Shalya Raj

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A 28yr-old male patient reported with the chief complaint of mild pain and food impaction in his lower right posterior region for 7 months and gave history of prior dental treatment of the same tooth at a private clinic. After examination, retreatment of root canal of 47 combined with perforation repair with Mineral trioxide aggregate (MTA) followed by post and core and full coverage restoration was decided. During treatment, attempt to adequately seal the perforation site was made with a white cement, probably zinc-oxide-eugenol, which on removal with burs showed a large lateral subcrestal perforation on the mesial area of the root, with intense haemorrhage indicating acutely inflamed tissue. The patient was recalled after 1 week, thereafter perforation repair was done using resorbable matrix (Abgel, Absorbable Gelatin Sponge of Healthium Medtech Limited) against which MTA Angelus mixed with sterile saline paste in a 3:1 proportion was condensed with finger pluggers.

HH51

Endoscopic Trans-Nasal Trans-Sphenoidal (TNTS) Approach For Pituitary Adenomas: Our Experience

Research Article

Saurabh Varshney, Charitesh Gupta, K. K. Bansal, S. S. Bist, Sanjeev Bhagat

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In this study, 54 cases of pituitary tumour were treated by endoscopic transnasal approach. Three treatments were used, alone or in combination:- Surgery (removing the tumor), Radiation therapy (using highdose X-rays to kill tumor cells) and Medication to block excess hormone secretion, and sometimes, shrink the tumor. The main treatment was surgery. After the surgical procedure, once tumor resection was complete, the area was irrigated and hemostasis was obtained. An abdominal fat graft is harvested and used to reconstruct the sellar defect, which was then sealed using surgical and abgel. Nasal packing was done with merocel which was removed after 48 h.

HH50

Comparative Evaluation of Fresh Aloe barbadensis Plant Extract and Mineral Trioxide Aggregate as Pulpotomy Agents in Primary Molars: A 12‑month Follow‑up Study

Research Article

Mehak Kalra, Nishita Garg, Mandeep Rallan, Lumbini Pathivada, Ramakrishna Yeluri

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A total of 48 children who met the inclusion criteria requiring pulpotomy procedure in sixty teeth involving primary molars were included in the study. During the procedure, the initial pulpal bleeding was arrested by application of pressure over the root canal orifices with a cotton pellet moistened in saline for 4 min. Upon removal of cotton pellet, if hemostasis was achieved, the tooth was indicated for either A. vera (Group A) or MTA (Group B). In study Group A, The A. vera gel was further covered with a layer of collagen sponge (Abgel, Healthium Medtech Limited) followed by placement of glass ionomer cement restoration. A stainless-steel crown was cemented onto the pulpotomized tooth as a final restoration in the same appointment.

HH49

Epistaxis in Visceral Leishmaniasis with Hematological Correlation

Research Article

B. Sigdel, S. Bhandary, and S. Rijal

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This study includes a total of 80 diagnosed cases of visceral leishmaniasis. Nasal bleeding was found in 19 (23.8%) cases. Unilateral bleeding was seen in 11 (57.9%) cases, whereas bilateral bleeding was seen in 8 (42.1%) cases. Fourteen (74%) cases were anterior type and 5 (26%) were posterior. Sixteen (84.2%) patients had epistaxis. In this study, all patients were managed initially with nasal decongestant, though 17 (89%) required chemical cautery, nasal packing with abgel (Healthium Medtech Limited). In 7 patients anterior nasal packing and in 5 patients posterior nasal packing using Foley catheter were done for the control of nasal bleeding followed by blood transfusion.

HH48

Unusual Presentation Of ‘U-Shaped’ Impacted Maxillary Central Incisor With Intranasal Root: Successful Surgical Management

Research Article

Prashant A. Punde, Nilesh M. Patil, Renuka L. Pawar

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A 15 year old male patient reported with missing upper front teeth on left side. His mother revealed he had history of trauma when he was 4 years old. The trauma resulted in intrusion of deciduous teeth in same region. Orthodontic opinion was advised. Due to unfavorable extreme curvature, surgical removal of 21 was planned. During the procedure after thorough irrigation, the socket was packed with abgel (Healthium Medtech Limited) and closure was done using interrupted sutures. Pressure pack was placed, and the patient was put on antibiotics and analgesics.

HH47

Trauma-induced dual vascular lesions in the liverhepatic pseudoaneurysm with arteriohepatic venous fistula

Research Article

2018

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A 17-year-old boy presented to the emergency triage with severe abdominal pain following blunt abdominal trauma. FAST (Focused Assessment with Sonography in Trauma) imaging revealed liver lacerations and haemoperitoneum. The patient was initially stabilised with inotropes, intravenous fluids and adequate analgesics and had to be directly taken up for emergency laparotomy. Laparotomy revealed grade V liver injury with active bleeding and haemoperitoneum of about 2 L. Haemostatic agent (AbGel, Healthium Medtech Limited) and multiple intra-abdominal packs were used to stop bleeding, and massive blood transfusion protocol was activated. The patient was transferred to intensive care unit where he improved with conservative treatment.

HH46

Electromagnetic Field Stimulation Attenuates Phasic Nociception after Complete Spinal Cord Injury in Rats

Research Article

Suneel Kumar, Ajay Pal, Suman Jain, Thirumurthy Velpandian and Rashmi Mathur

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In this study, whole-body electromagnetic field stimulation on thoracic complete spinal cord injury-induced nociception including sensorimotor deficits in rats was tested. Rats were deeply anesthetized and have undergone laminectomy followed by complete thoracic (T11) transection of the spinal cord. Briefly, the spinal cord was exposed after bilateral laminectomy of T10–T12 vertebrae and was transected completely by fine dura micro scissor at the T11 vertebra. The severed ends of the spinal cord typically retracted about 1–2 mm and, then, gently lifted to ensure completeness of spinal cord transection. The gap was then filled with gel foam (AbGel, Healthium Medtech Limited, New delhi, India), and skin and underlying tissues were sutured layer by layer.

HH45

Endoscopic Optic Nerve Decompression for Direct Traumatic Optic Neuropathy : Our 10 Years Experience

Research Article

Vivek Sasindran, Mithra Sara John

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This is a retrospective study where they analyzed all cases of direct type Traumatic optic neuropathy in whom Endoscopic optic nerve decompression was done under general anesthesia in 32 patients. During the procedure, where the surgeon placed nerve sheath incisions, a mucosal graft was placed to prevent potential CSF leak. Also mucosal grafts from the nasal cavity were placed over traumatic dehiscence of the carotid canal. Nasal packings were avoided as far as possible. But if any coexistent CSF leak was repaired, then packing was done using oxidized regenerated cellulose (Surgicel®) and absorbable gelatin sponge (AbGel®, Healthium Medtech Limited). Preoperative and postoperative visual assessment were done and followed up for 3 months.

HH44

Gelatin Sponge-induced Early Onset Quadriparesis after the Posterior Decompression for Cervical Myelopathy Due to Ossification of a Posterior Longitudinal Ligament – A Case Report

Research Article

Arulkumar Nallakumarasamy, Mantu Jain, Sibasish Panigrahi, Auroshish Sahoo, Suprava Naik

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A 48-year-old male presented with difficulty in walking and clumsiness of both hands for a 1-year duration. The disease was insidious and progressive, making him unemployed through ambulatory. After examination, the patient was operated on with posterior decompression C3-C6 undercutting the C2 lamina. Instrumentation was done with lateral mass screws C3-C6 and rods were carefully secured to the screws, and autologous bone grafts were placed laterally. A gelatin sponge (abgel, Healthium Medtech Limited) corresponding to the laminectomy defect’s size was placed in the midline, and the wound was closed with a drain. Postoperatively, the patient felt some “lightness” in his limbs and regained his pre-operative power.

HH43

Head and Neck Schwannomas: A Surgical Challenge—A Series of 5 Cases

Research Article

Ishtyaque Ansari, Ashfaque Ansari, Arjun Antony Graison, Anuradha J. Patil, and Hitendra Joshi

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A 40-year-old female presented with headache since 2 years, left nostril discharge since 1 year, and left eye progressive vision loss since 1 year. Clinical features and CECT were suggestive of malignant tumor. The tumor was approached through Weber Furguson incision with subciliary extension. Left suprastructure maxillotomy was done. Total excision of the tumor was carried out. Total excision of intracranial portion of tumor was achieved. Bleeding from the left cavernous sinus was controlled with Abgel® (Healthium Medtech Limited) and Surgicel®. Postoperatively, patient had an uneventful recovery, with minimal left eye vision improvement.

HH42

A case report on implant retained auricular prosthesis: Bringing back hope and smile

Research Article

Deeksha Gupta, Rahul Thakkur, Bhumi Shah

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A young male patient of age 24 years reported to department of Prosthodontics of a dental institute with complaint of missing left ear. During the osteotomy, after 4 mm depth in the anterior implant (at 11 o’clock position), dura could be visualized. After confirmation of intact dura, under loop magnification and illumination Abgel (Healthium Medtech Limited) was placed as temporary barrier and implants of 4 mm were placed at both the regions. With a proper coverage of medication (antibiotics‑analgesics) patient was relieved and recalled after 4 months.

HH41

Longitudinal Study of Type I Interlay Tympanoplasty

Research Article

Manish Chandra, Satveer Singh Jassal

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This Prospective study was carried out in the Department of Otorhinolaryngology and Head and Neck Surgery, Era’s Lucknow Medical College, Lucknow. 50 patients aged between 10 and 50 years of chronic otitis media mucosal type disease with dry ears were selected. Otomicroscopic, tuning fork test, pure tone audiometry were done in all patients. All patients underwent interlay tympanoplasty and Graft was supported externally by abgel and EAC was packed with abgel (Healthium Medtech Limited) and ear wick soaked in antibiotic solution. Patients were followed up regularly for a minimum period of 1.5 years. Successful graft uptake was noted in 48 (96%) cases.

HH40

Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

Research Article

Ramesh Parajuli

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To analyze the etiology and treatment methods for patients with epistaxis, a retrospective study was done in a tertiary care hospital in central Nepal. A total of 84 patients who had epistaxis were enrolled. The most common cause of epistaxis was found to be idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of the patients required anterior nasal packing. Patients with bleeding disorders were packed with absorbable gelatin sponge (Abgel, Healthium Medtech Limited); the rest of the patients received conventional anterior nasal packing with ribbon gauze. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Conservative or nonsurgical methods were effective to arrest epistaxis in most of the patients. Proper nasal packing was found to be effective method of controlling epistaxis.

HH39

Angiogenic potential of Bambusa vulgaris leaves: Results of an in-vitro study with chicken embryo chorioallantoic membrane (CAM) model

Research Article

Vijaykumar Gupta, Vivek Nalgirkar, Anant Patil, Priyanka Mirdha, Geetanjali Gajanan Ranade

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Chicken embryo chorioallantoic membrane model was used for estimation of angiogenic potential of B. vulgaris leaves extract with different concentrations. Angiogenic potential was estimated using focal application method and AbGel™ sponge (Healthium Medtech Limited) application method. The test samples were loaded on eight embryonic development day of embryonic development of chick embryo and angiogenesis was observed on eleventh embryonic development day. The sponge specimen was examined for histological changes. These observations suggests that B. vulgaris leaves possess angiogenic property and it has potential for studying further for its clinical effects.

HH38

Effectiveness of Gelatin Sponge Along with i-PRF in Endodontically Involved Tooth with Grade II Furcation Defects: A Clinical and Radiographic Study

Research Article

Annapurna Ahuja, Vipin Ahuja, Abhirup Saha, Adya Singhal, Tannu Priya, Avishek Bhattacharjee

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The present study was a single-center clinical trial wherein 20 mandibular grade II furcation defects were treated with gelatin sponge (Abgel Healthium Medtech Pvt Ltd) combined with i-PRF results. There was a statistically highly significant improvement seen in all the clinical parameters and radiographic parameters at baseline and 6 months postoperatively. There was radio graphically evident bone regeneration from baseline to 6 months after the surgical procedures. Gelatin sponge with i-PRF was found to be cost–effective treatment modality in achieving periodontal regeneration.

OTW11

Evaluating the Clinical Equivalence of Truwax® and Ethicon® Bone Waxes for Sternal Wound Hemostasis: A Prospective Randomized Study

Research Article

Ravi S. Shetty, Neeraj Prakash, Vinay Krishna, Rakesh K. Verma, Guru P. Patel, Ashok Moharana, Deepak Siddabasavaiah

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This prospective (May 2022-April 2023), parallel-group, two-arm, randomized, single-blind, multicenter study was conducted to evaluate the clinical equivalence of Truwax® (Healthium Medtech Limited) with Ethicon® (Johnson & Johnson) bone wax for sternal wound hemostasis in subjects undergoing surgical procedures by sternotomy. No incidence of sternal dehiscence or postoperative complications was witnessed. Time to hemostasis, bone wax properties, number of dressing changes, sternal stability, pain, blood and blood products used, duration of ICU/hospital stay, reoperations, time taken to return back to normal day-to-day activities and to work, and subject satisfaction and QoL were comparable. Therefore, Truwax® and Ethicon® bone waxes were found to be safe and effective and provide sternal wound hemostasis in people undergoing sternotomy.

AWD10

Oncological Surgical Wound Care: A Comparison of Theruptor NXT Non-adherent Dressing and the Current Standard of Care

Research Article

Amritha Prabha Shankar, Kiran Kumar BR, Bharat Shankar, Ravoori H. Babu, Rahul Dholariya, Priya, Shubhashree Muralidhar, Ganesh M. Subramanya

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This prospective study aimed to compare the efficacy and safety of Theruptor NXT with the current standard of care practice involving cotton/povidone/micropore dressings in the postoperative wound management of oncological surgeries. A total of 102 patients who underwent oncological surgeries between May and September 2023 were randomized to Theruptor NXT and SOC dressing groups (51 patients each). The incidence of SSIs, wound pain score, cosmetic appearance of the wound, subject satisfaction, product usage and adverse events were assessed in the two groups at various intervals. Similar safety profile was observed, However the product usage assessment revealed statistically significant differences, favoring Theruptor NXT in terms of superior ease of application, stretchability, exudate management, breathability, and non-adherence properties. The studies finding suggest that Theruptor NXT wound dressing is a promising, effective, and user-friendly alternative to SOC wound dressing in diverse clinical settings.

AK10

Evaluation of safety, clinical outcomes, and patient-reported outcomes after meniscus repair using surestitch all inside meniscal repair implant: a retrospective, observational study

Research Article

Mukesh Garg, Ashish Tomar, Ashok Kumar Moharana, Sachin Angrish, Deepak T. S., Cismitha Sharol Pinto

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This retrospective observational study evaluates the safety, clinical outcomes, and patient-reported outcomes of meniscus repair using Surestitch all inside meniscal repair implant. The study included patients aged 18-80 years who underwent meniscus repair with Surestitch between October 2020 and July 2022. There was no meniscus repair failure noted in any of the patients. Functional patient-reported outcomes assessed using IKDC with a score of 60.15±12.40, and Lysholm scores 77.03±14.45 demonstrated favorable results. The KOOS of 54.63 further indicated positive knee health across domains. There were no adverse events or reoperations. The study demonstrated favorable safety, clinical outcomes, and patient-reported outcomes, yielding satisfactory results, and consequently establishing the safety and effectiveness of the Surestitch All inside meniscal repair implant in meniscus repair.

ASH4

A multicentre, retrospective and observational study to evaluate safety and functional outcomes of arthroscopic shoulder ligament repair using Sironix suture anchor

Research Article

K. Vijayaraj, V. Rathika, Ashok Kumar Moharana, Sachin Angrish, Deepak T. S.

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This was a multicentric, retrospective, observational study conducted on patients who underwent primary arthroscopic shoulder ligament tear repair between April 2018 to July 2022, using Sironix suture anchors. The goal of this study was to evaluate the safety and functional outcomes after shoulder ligament repair. A total of 75 patients were included. Post-surgery measurements of functional outcomes were performed using the PENN shoulder score, SST questionnaire, SPADI, and SANE. At post-surgery follow-up visits, there was a significant improvement in the functional outcomes of all the patients. Based on the study results, arthroscopic shoulder ligament repair with Sironix suture anchor resulted in good and desirable functional outcomes with no major adverse events and improved quality of life.

OSS1

Surgipler Skin Stapler versus Trulon Polyamide Suture in Post-surgical Open Abdominal Wound Closure: A Randomised Clinical Trial

Research Article

Seraj Ahmed, Soham Patra, Nabarun Manna, Tirna Halder

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The present study was a single-centre, prospective, two-arm, parallel-group, randomised (1:1) clinical study conducted at the Department of General Surgery, IPGMER-SSKM Hospital, Kolkata, West Bengal, India, between July 19, 2022, and January 31, 2023. A total of 134 eligible adult patients (18-70 years) undergoing open abdominal surgeries were screened, enrolled, and randomised to the Surgipler skin stapler (n=67) and Trulon polyamide suture (n=67) [Healthium Medtech Limited]. Patients were followed up for 84 days. The present study concludes that the Surgipler skin stapler performed better than the Trulon polyamide suture in postoperative wound closure in open abdominal surgeries.

AWD9

Efficacy, Safety, and Cost-Effectiveness of Healthium Theruptor Versus 3M Tegaderm Versus Plain Gauze Dressing for Wound Dressings Used in Abdominal and Joint Surgeries: A Prospective, Multicentric, Randomized Study

Research Article

Michael Rodrigues, Shoban Varthya, Vinoth Sunderasan, Tharun Ganapathy, Sakthi Balan, Gayathri Sivakumar, Mayank Badkur, Meenakshi Gothwal, Sneha Ambwani, Jaykaran Charan, Uthpala Vadakaluru, Ashok Kumar Moharana, Deepak Siddabasavaiah

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A randomized clinical trial was conducted to compare the clinical efficacy and safety of Healthium Theruptor, 3M Tegaderm, and plain gauze dressings in patients undergoing abdominal and joint surgeries. This was a multicenter, prospective, three-arm, randomized, double-blind study conducted between April and November 2022 at three different sites in India. A total of 210 patients were randomized to receive either of the following three interventions: Theruptor, Tegaderm, and plain gauze dressing (n = 70 each). All three dressings were equally effective in healing the wound and reducing the incidence of SSIs. No significant difference was observed in wound dehiscence, wound pain, clinical wound parameters, cosmetic assessment, and quality of life among the three groups (p > 0.05). Thus, Theruptor may be a considerate option in the postoperative wound management of abdominal and joint surgeries.

AWD8

Theruptor Novo, a novel wound dressing in the management of infected diabetic foot ulcer: two case reports

Research Article

Subhash M. Kale

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India is the world's center for diabetes, with an estimated 77 million adults over the age of 18 having type 2 diabetes and nearly 25 million are pre-diabetics. Approximately 15-20% of diabetic patients will suffer from diabetic foot ulcer at least once in their lifetime which can also lead to deformity and amputation if timely intervention is not done. The surgeon must know the course of the infection, principles of non-healing wound management, and biomechanics of the foot for an optimal outcome. We described 2 case reports who presented with non-healing infected wounds. Healing was achieved through multidisciplinary team approach, patient education about diabetes, off-loading regime and regular wound dressing using Theruptor Novo (Healthium Medtech Limited).

AWD7

Study of hydrocellular functional material as microbicidal wound dressing for diabetic wound healing

Research Article

Michael Rodrigues and Thilagavati Govindharajan

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A hydrocellular functional material as a wound dressing is developed and it is found to be superior in its efficacy as compared to some of the comparator controls in diabetic wound healing studies. A study on wound contraction and Histopathological analysis is done in rats. The efficacy of the dressing is comparable to the established wound dressings like Carboxymethyl cellulose alginate dressings and autolytic enzyme-based hydrogel. It is found to be superior to Polyhexamethylene biguanide dressing used as reference controls in this study. The developed dressing can be used as a relatively durable long-lasting dressing for wound management in diabetic wounds. Such novel wound dressing material can change the quality of life of diabetic wound patients especially in developing world, where access to functional advanced wound care dressings is limited.

AWD6

A Randomized Controlled Trial Comparing Two Wound Dressings Used in Obstetric and Gynecological Surgeries: Trushield NXT vs. Tegaderm

Research Article

Prema D Cunha, Prathima Gowda

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This was a single-centre, prospective, randomized, single-blind study conducted between January 2022 and May 2022. 102 subjects were enrolled and randomized to receive Trushield or Tegaderm dressing (n=51 each). Efficacy and safety of Trushield NXT Non-adherent dressing (Healthium Medtech Limited, Bangalore, India) to the traditional Tegaderm HP+ Pad Film Dressing with Non-Adherent Pad (3M, Bangalore, India) was compared in post-operative wound management of obstetrics and gynecological surgeries. The incidence of SSI, adverse events (AEs), comfort and performance of the dressings, subject satisfaction, and pain score were assessed in both groups. Both dressings were found to be equally safe, efficient, and beneficial in the post-operative wound management of obstetric and gynecological surgeries.

AWD5

Theruptor Novo dressing for an infected diabetic foot ulcer: a case study

Research Article

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In this case, the patient presented with non-healing infected diabetic foot ulcer. During the first 2 weeks of treatment, he underwent wound debridement under local anaesthesia and wound dressing was done using Theruptor Novo (Healthium Medtech Limited) once every three days. Over the next 8 weeks, the patient was followed up every week and wound dressing was done using Theruptor Novo after thorough saline wash. The Theruptor Novo dressing was efficient in exudate management and preventing secondary infection which helped in accelerated diabetic foot ulcer healing.

AWD4

Theruptor novo: wound dressing for diabetic foot ulcer

Research Article

B. Pavan

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A diabetic patient presented with a non-healing diabetic foot ulcer (10.83 cm2) with severe loss of protective sensation, exposed excised fourth and fifth metatarsals and he was treated and followed up with regular normal saline washes and Theruptor Novo dressings of Healthium Medtech Limited. The wound started to show signs of healing and within 7 weeks, the wound healed with complete epithelization. Theruptor Novo dressing was helpful in terms of good granulation tissue growth and epithelialization over time with good exudate management. Theruptor Novo, a non-adherent dressing with unique antimicrobial action cab be useful in managing diabetic foot ulcers.

MTM11

Postoperative Outcomes in Patients undergoing Transabdominal Preperitoneal Repair versus Lichtenstein’s Repair for Inguinal Hernia: A Prospective Cohort Study

Research Article

Shankar Gururaj Kollampare, Abhay M Philip, Rakesh A Rai

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A prospective cohort study was conducted in the Department of Surgery at Father Muller Hospital from November 2020 to May 2022 to determine the short-term outcomes of Lichtenstein and TAPP hernia surgery. A total of 30 male patients underwent TAPP and 30 male patients underwent Lichtenstein repair. Polypropylene mesh (Trulene macropore, Healthium Medtech, India) was used in both groups. Postoperative pain, early ambulation, number of days stayed in the hospital postoperatively, time taken to return to work, cost-analysis, and operating time were assessed between the groups. Laparoscopic surgery (TAPP) is superior to Lichtenstein repair despite higher fixation device costs because it is associated with shorter hospital stays, less pain, and earlier return to regular activities.

ASH3

A Retrospective Study on the Efficacy, Safety, and Clinical and Radiological Outcomes of PEEK Anchors (CEPTRE® Knotted Suture Anchor and VIPLOK® Knotless Anchor) in the Treatment of Rotator Cuff Repairs

Research Article

Vivek Pandey, Sandesh Madi

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This was a retrospective cohort study of arthroscopic rotator cuff repair of posterosuperior tears, which was performed between January 2019 and December 2020 with a minimum follow-up of one year. The present study was undertaken to explore the efficacy, safety, clinical, and radiological outcomes of PEEK suture anchors in the treatment of arthroscopic rotator cuff repairs. The results of this study suggest that PEEK suture anchors (Ceptre® knotted suture anchor and Viplok® knotless anchor; Sironix, Healthium MedTech, India) are a viable option for successful surgery in the treatment of arthroscopic rotator cuff repairs without any major anchor related complications.

AK8

An observational retrospective study on safety and functional outcomes of arthroscopic anterior cruciate ligament reconstruction using Sironix suture button and interference screw

Research Article

Murtuza Ahmed Mohammed, Apurve Parameswaran, Vinay Kishore Ponnala, Krishna Kiran Eachempati, Sunil Apsingi, Ashok Kumar Moharana, Sachin Angrish, Deepak T. S.

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This was a retrospective observational study. Patients who underwent arthroscopic ACL-R using Sironix suture button and interference screw (January 2018-March 2022) were included in the study. Functional outcomes of patients were evaluated using the international knee documentation committee (IKDC) assessment, the Tegner activity scale (TAS), the Lysholm knee scoring scale, the modified knee injury and osteoarthritis outcome score (KOOS) quality of life subscale, and the single assessment numerical evaluation (SANE) score. Arthroscopic ACL-R using Sironix implants (Helysis titanium interference screw, Helysis PLDLA+β-TCP interference screw, Infiloop fixed loop UHMWPE suture titanium button, Proloop adjustable loop UHMWPE suture Titanium button, and Titanium suture disc) demonstrated safety and good functional outcomes.

MTM10

A Single-Blind, Randomized Study Comparing Clinical Equivalence of Trulene® Polypropylene Mesh to Prolene® Polypropylene Mesh in Subjects Undergoing Lichtenstein Open Repair of Primary Inguinal Hernia Secured with Sutures

Research Article

Vijay Hangloo, V. S. S. Naga Babu Tippana, Sanjoy Mohan Bhattacharya, Nikhil Agarwal, Ashok Kumar Moharana, T. S. Deepak

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This multicentric, randomized, prospective (n = 120) study compared the clinical equivalence of Trulene® polypropylene mesh (Healthium Medtech Limited) and Prolene® (Ethicon-Johnson & Johnson) polypropylene mesh with respect to recurrence rate of hernia in subjects undergoing Lichtenstein open repair of primary inguinal hernia, secured with sutures. It was conducted between September 2020 and November 2022. During the 12-month follow-up period, no recurrence of hernia was recorded. In addition, no significant differences were recorded between Trulene® and Prolene® mesh groups. Trulene® polypropylene mesh is clinically equivalent to Prolene® polypropylene mesh and are safe and effective for Lichtenstein open repair of primary inguinal hernia with minimal risk of hernia recurrence and chronic pain.

MTM5

Surface Modification of Polypropylene Mesh with a PorcineCholecystic Extracellular Matrix Hydrogel for Mitigating Host Tissue Reaction

Pre-Clinical Article

Reshmi Raj, Sachin J. Shenoy, Manjula P. Mony, Kanakarajan V. Pratheesh, Reshma S. Nair, Chandrika S. Geetha, Praveen K. Sobhan, Chandramohanan Purnima, and Thapasimuthu V. Anilkumar

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This study deployed a tissue engineering approach for mitigating Polypropylene (PP)-induced adverse tissue reaction by dip-coating the mesh with a hydrogel formulation of the porcine cholecystic extracellular matrix (CECM). The dip-coating was done on commercially available monofilament non-absorbable PP mesh of Trulene (Healthium Medtech Limited). The biomaterial properties of the CECM hydrogel-coated PP meshes were studied and their biocompatibility was evaluated by in vitro and in vivo tests based on ISO standards. Further, the nature of tissue reactions induced by the hydrogel-coated mesh and a commercial PP hernia repair graft was compared in a rat model of partial-thickness abdominal wall defect.

MTM4

Topical antibiotic prophylaxis in Lichtenstein hernia repair and comparison of three methods: A prospective randomized clinical trial

Research Article

Duray Seker, Gaye Ebru Seker, Bahattin Bayar, Zafer Ergul, Hakan Kulacoglu

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The objective of the study was to compare the effectiveness of three different antibiotic prophylaxis regimens in Lichtenstein hernia repair. A sample size of 300 patients (100/group) with primary or recurrent unilateral inguinal hernia and contralateral hernia repair were included. All patients underwent open hernioplasty using a standard heavy polypropylene mesh (Trulene mesh‑sutures, Healthium Medtech Limited) in a standardized Lichtenstein technique. The study concluded that all three methods are equally effective in surgical site infection, but combination method seems better with “0” ratio. Prophlaxy coverage also prevents surgical site infection even in the presence of risk (comorbidities).

MTM1

A bizarre surgical aftermath of caesarean scar endometriosis

Research Article

Nidhi Sharma, Nasreen Banu M, Sai Supriya Muthyala

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A 32-year-old multiparous female patient came with complaints of a painful lump over the previous caesarean scar. Contrast-enhanced computed tomography showed defined Solid soft tissue mass of size 2*8.3*3.4 cm seen in the deep subcutaneous plan of the anterior abdominal wall in the hypogastric region extending to deep musculature of rectus abdominis. Rectus muscle and anterior rectus sheath closed with loop ethilon and 15*15cm trulene mesh (Healthium Medtech Limited) placed as only mesh fixed with 2-0 prolene and another drain placed.

NATL1

Single‑blind, randomized study comparing clinical equivalence of trulene and prolene polypropylene sutures in elective primary coronary artery bypass graft surgery

Research Article

Ravi Shankar Shetty, Ajay Kaul, Aayush Goyal, Govardhan Reddy Konda, Sushant Srivastava, Ashok Kumar Moharana and T. S. Deepak

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This multicenter, prospective, two-arm, parallel-group, randomized (1:1), single-blind study was conducted. This study compared the clinical equivalence of Trulene® (Healthium Medtech Limited) and Prolene® (Ethicon-Johnson & Johnson) polypropylene sutures regarding incidence of myocardial infarction, stroke, renal failure and cardiac death (MACCE) occurring up to 26 weeks’ period post-CABG surgery. Non-significant difference was observed between the treatment groups, Trulene® and Prolene®.

ATGF3

A Randomized, Single-Blind Study Comparing the Clinical Equivalence of Truglyde Fast® and Safil Quick® Polyglycolic Acid Fast-Absorbing Sutures for Episiotomy Repair Following Vaginal Delivery

Research Article

Roopa NK, Geetanjali Devgarha, Y Aruna Subha Shree Rao, Rekha N, Ashok K Moharana, Deepak TS

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This multicentric, prospective, randomized (1:1), two-arm, parallel-group, single-blind study was started in August 2020 and completed in March 2021. Ninety-nine primiparous or multiparous eligible women requiring episiotomy were recruited to Truglyde Fast® (n=51) and Safil Quick® (n=48) groups. This study subjectively assessed perineal pain and maternal morbidity following episiotomy repair with Truglyde Fast® (Healthium Medtech Limited, Bengaluru, India) and Safil Quick ® (B. Braun Medical Private Limited, Mumbai, India) polyglycolic acid fast-absorbing suture. Both sutures are safe and effective for episiotomy repair following vaginal delivery with minimal perineal pain and risk of maternal morbidity.

ATGF2

Surgical site infection and development of antimicrobial sutures: a review

Review Article

RAHW Chua, SK Lim, CF Chee, SP Chin, LV Kiew, KS Sim, ST Tay

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This review article presents a summary of a variety of novel antimicrobial sutures that have been developed over the last three decades. One among them is the Truglyde Fast absorbable Polyglycolic acid suture of Healthium Medtech Limited was coated with Curcumin Pegylated gold nanoparticles by dip technique. This successful technique is effective in reduction of surgical site infections during the hospital stay.

AT13

Bleeding in Office Dental Practice: Does it bother you?

Review Article

Smriti Choradia, Neelam Andrade

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A review paper attempted to discuss in substantial detail the mode of action, uses, efficacy with side and adverse effects of currently available local hemostats (agents and drugs) for office dental surgery. In this review, Truglyde (Healthium Medtech Limited) is mentioned as one of the invasive methods to control bleeding during suturing extraction wounds.

AT12

Surgical removal of esophageal fish hook foreign body in a fancy Aseel chicken

Pre-Clinical Article

R Thangadurai, K Dhasarathan and M Vijayakumar

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1-year old Aseel female chicken was presented with a history of protruding fish hook from its beak. Under local anaesthetic procedure, esophagostomy was performed and barbed fish hook along with meat piece was retrieved. The esophagotomy site was closed in two layers with an interrupted and continuous pattern using polyglycolic acid no. 3-0 (Truglyde, Healthium Medtech Limited).

AT11

Transanal Hemorrhoid Dearterialization is a Safe and Effective Outpatient Procedure for the Treatment of Hemorrhoidal Disease

Research Article

Zoran Bjelanovic, Miroljub Draskovic, Milic Veljovic, Ivan Lekovic, Menelaos Karanikolas, Dusica Stamenkovic

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An observational study was conducted to evaluate the efficacy and safety of transanal dearterialization (THD) in grade 2–4 hemorrhoids (HD). THD procedure was conducted and in addition, the procedure often entails mucopexy, which is done with a continuous suture of mucosa. A 2-0 Truglyde absorbable polyglycolic acid suture (Healthium Medtech Limited) with a 5/8-inch needle and 26.5 mm was used after mucopexy in order to lift the prolapse.

AT9

Esophagotomy in a domestic fowl: a rare case report

Pre-Clinical Article

Ninu AR, Uma Rani R and Vishnugurubaran D

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An Aseel breed of domestic fowl was referred with a history of swelling in the neck and subsequent anorexia. Esophagotomy was performed and fish bone pieces were retrieved from the esophagus of the fowl. The esophagotomy incision was closed in two layers using polyglycolic acid no: 3-0 (Truglyde, Healthium Medtech Limited) in a continuous pattern to prevent leakage. Then the skin was closed in simple interrupted pattern using 3-0 polyamide (Trulon, Healthium Medtech Limited).

AT7

Penile Urethral Hypospadias with Two Fistulae and Diverticulum in a Saanen Kid

Pre-Clinical Article

Areeg Mohamed Almubarak, RihabMohamed Abdelghafar, Ahmed Abdelrahim Gameel, and Nuha Muatasim Osman

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This case study reports a hypospadiac case in a goat kid with urethral diverticulum. A 45-day-old male kid was presented with a history of increasing prescrotal swelling. Urethral diverticulectomy was performed by elliptical skin incision around the dorsal border of the diverticulum. After procedure, subcutaneous tissues were sutured through simple continuous suture using an absorbable surgical suture, Truglyde USP size 1 (Healthium Medtech Limited).

AT6

Tracheoesophageal fistula following blunt trauma to the right chest

Research Article

Murugu Sundara Pandiyan, Periasamy Sivakumar, Poongavanam Andappan & Gopalakrishnan Vedamoorthy

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In this case report, a 28-year-old male motorcyclist fell on his right side and developed a fistula after 3 days. The patient was taken up for surgery and fistula site was identified. Trachea and oesophagus were dissected apart in this area. The defect in the trachea was closed with simple interrupted 4-0 truglyde (Healthium Medtech Limited) sutures.

AT5

Surgical management of chronic cervico-vaginal prolapse in Rathi cattle

Pre-Clinical Article

Swati Ruhil, Harpreet Singh, Sandeep Potliya, Ankit Kumar and Ranbir Singh Bisla

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A 10-year old Rathi cow was presented with a complaint of cervico-vaginal prolapse. The surgical resection of prolapsed mass was performed. Prolapsed mass was incised using thermocautery with simultaneous ligation of bleeding vessels. Finally, both the mucosal walls were opposed with continuous suture pattern using Truglyde No. 2 (Polyglycolic acid, Healthium Medtech Limited).

AT3

Crop impaction and its surgical management in a domestic fowl

Pre-Clinical Article

R Ramesh, V Vijayanand, A Gopalakrishnan and S Ayyappan

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An Aseel breed of domestic fowl was presented with a history of swelling at the lower neck with sudden difficulty in breathing. Ingluviotomy was performed and undigested materials were removed. The Ingluviotomy site was closed in two layers of simple interrupted followed by continuous pattern using polyglactin 910 no. 3-0 (Truglyde, Healthium Medtech Limited) to prevent any leakage. The skin was closed in a simple interrupted pattern using 3-0 polyamide (Trulon, Healthium Medtech Limited).

NATB3

Clinical Equivalence of Trubond® and Ethibond® Braided Polyester Sutures for Valvular Prosthesis Fixation During Aortic or Mitral Valve Replacement: A Single-Blind Randomized Controlled Trial

Research Article

Neelam B. Desai, P.S. Seetharama Bhat, Chandra Sena M, Siddharth S, CH Praveen, Ashok K. Moharana, Deepak TS

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This is a prospective, multicentric, two-arm, randomized (1:1), parallel-group, single-blind study conducted between December 2020-October 2022. This study compared the clinical equivalence of Trubond® (Healthium) and Ethibond® (Ethicon, Johnson & Johnson) braided polyester sutures for valvular prosthesis fixation using interrupted suturing, with respect to the proportion of subjects having PVL after aortic valve (AV) or mitral valve (MV) replacement. Patients who underwent AV/MV replacement and were followed up until 26 weeks had no incidence of PVL or other postoperative complications. Therefore, Trubond® suture is safe and effective for valvular prosthesis fixation in patients undergoing AV or MV replacement.

NATB2

Treatment of a congenital lateral patellar luxation by recession trochleoplasty in a donkey foal

Pre-Clinical Article

AM Abu-Seida and AA Shamaa

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This case report describes the application of recession trochleoplasty and medial imbrication of the joint capsule for the treatment of a 6-month-old female donkey foal with a congenital lateral luxation of the patella. In order to stabilise the patella in its anatomical position, medial imbrication was carried out by suturing the parapatellar fascia and the sartorius muscle tendon to the joint capsule and the medial patellar ligament using No.5 metric non absorbable polyester coated suture (Trubond®, Healthium Medtech Limited) in a simple interrupted pattern. This can be considered as a successful correction of the problem.

ASH2

Clinical and patient reported outcomes after treatment of Rotator Cuff Tears: A Retrospective, Observational Study

Research Article

KR Prathapkumar, Vineeth Gopalannair, Ashok Kumar Moharana, Sachin Angrish, Deepak TS

Read More

This was a retrospective, observational, single centre clinical study. This study was conducted to evaluate clinical and functional outcomes in patients who underwent arthroscopic rotator cuff tear surgery using Sironix knotted and knotless suture anchors. The findings of current study devices appeared to be a safe and effective approach in providing acceptable post-operative recovery in RCT surgeries with no repair failures and agreeable functional improvement.

ATGF1

Fabrication of Surgical Sutures Coated with Curcumin Loaded Gold Nanoparticles

Pre-Clinical Article

Sunitha S, Adinarayana K, Sravanthi Reddy P, Sonia G, Nagarjun R, Pankaj T, Veerabhadra Swamy Ch and Sujatha D

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The present work aims at a novel strategy to reduce nosocomial infections by coating sutures with antimicrobial drugs. The plain sutures, Truglyde Fast-absorbable surgical suture U.S.P (Synthetic), Polyglycolic acid sutures of Healthium Medtech Limited were coated with curcumin pegylated gold nanoparticles by dipping technique. From in vivo studies and histopathology reports, it was clearly evident that coated sutures healed the tissue much faster than the uncoated sutures and less inflammation was observed.

APD2

A Prospective Randomized Controlled Trial Comparing Clinical Equivalence of PD Synth® and PDS® Slowly Absorbed Polydioxanone Sutures in Elective/Emergency Midline Laparotomy

Research Article

Amritha Prabha Shankar, Stanley Mathew, V S S Nagababu Tippana , Keerthi B.R, Saleem Naik, Ravinder K. Pandita, Badareesh L, Naveen Kumar AN, Venkata Narasimha Rao V, Bharath Kumar Bhat, Ashok K. Moharana, Deepak TS

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This study compared clinical equivalence of PD Synth® and PDS® slowly absorbed polydioxanone suture with respect to occurrence of incisional hernia, following elective/emergency midline laparotomy. Eighty-eight subjects undergoing elective/emergency midline laparotomy were randomized to PD Synth® (n=45) and PDS® (n=43) groups of this prospective, multicenter, randomized (1:1), single-blind study (December 2020-May 2023). The outcomes of the study was PD Synth ® and PDS® slowly absorbed polydioxanone sutures are clinically equivalent and can be used for abdominal fascial closure following midline laparotomy.

ATS5

Double trouble: a rare presentation of mucocele of appendix

Research Article

Samuel Kevin, Rai Rakesh A, Kollampare Shankar Gururaj

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In this case report, a 54 year male presented with complains of abdominal pain of 1-week duration which was localised to the right lower abdomen, non-radiating, colicky pain, with no history of vomiting, fever, burning micturition. The patient underwent open appendectomy and right ureteroscopic lithotripsy (URSL) + double J stenting under spinal anaesthesia. Appendicular base was transfixed and ligated with polyglactin 910 Trusynth sutures and skin closed with polyamide Trulon sutures (Healthium Medtech Limited).

ATS4

Clinical Equivalence of Trusynth® and Vicryl® Polyglactin 910 Sutures During Cesarean Delivery: A Single-Blind Randomized Controlled Trial

Research Article

Prema DCunha, Kranti P. Silpa, Sameera M. Gadwalker, Ashok K. Moharana, Deepak TS

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This is a prospective, multicentric, two-arm, parallel-group, single-blind, randomized (1:1) controlled study. A total of 113 women with a singleton pregnancy scheduled for cesarean section were included in the study and randomized to Trusynth® (n=57) and Vicryl® (n=56) group. This study assessed the clinical equivalence of Trusynth® and Vicryl® polyglactin 910 sutures for subcutaneous tissue closure. No incidence of subcutaneous abdominal wound disruption, intraoperative handling parameters, hematoma, seroma were observed between Trusynth® and Vicryl® groups.

ATG6

Effect of two methods of soft tissue augmentation for socket closure on soft tissue landmarks and ridge dimensions- Results from software-based analysis of clinical data

Research Article

Rampalli Viswa Chandra, Medisetty Bhagyasree, Pulijala Sathwika, Aileni Amarender Reddy

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The study aimed to evaluate the effect of connective tissue grafts (CTG) and pediculated connective tissue grafts (P-CTG) for extraction socket closure on soft tissue landmarks and ridge dimensions. A randomized study was conducted in 45 subjects with 2 treatment groups. In CTG procedure, the graft was sutured to the recipient bed with 4-0 Chromic Catgut (TruGut®, Healthium Medtech Limited) and approximation of the flap was done with 4-0 Prolene sutures (Trulene®, Healthium Medtech Limited). This study proved to have significant effects and improvement in the buccolingual dimensions of the post-extraction ridge.

AK7

Functional Outcomes Following Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction Using the Sironix Titanium Button and the Polyetheretherketone (PEEK) Button: A Retrospective Observational Study

Research Article

Sunil K. Dash, Dinesh Mishra, Harekrushna Sahu, Ashok K. Moharana, Sachin Angrish, Deepak TS

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This retrospective, observational study was conducted to evaluate the safety and functional outcomes after arthroscopic ACL reconstruction using the Sironix titanium button and the polyetheretherketone (PEEK) button. A total of 31 subjects who have undergone arthroscopic ACL reconstruction using the Sironix titanium button and PEEK button between August 2022 and January 2023 were included in the study. Patients who underwent ACL reconstruction with the Sironix study implants experienced notable improvement in their knee functionality. Therefore, Sironix knee implants are considered safe and effective in ACL reconstruction and meniscus repair surgery.

AK6

Functional outcomes following arthroscopic ACL reconstruction with fixed loop suture button and interference screw: A retrospective observational study

Research Article

Yathiraj B R, Srikant S Iyengar, Ashok Kumar Moharana, Sachin Angrish, Deepak TS

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In this retrospective study, safety and functional outcomes of arthroscopic meniscal repair surgery using Surestitch All inside implants (Sironix Arthroscopy Solutions, Healthium Medtech Limited, Bengaluru, India) were assessed. Based on the findings of IKDC, SANE, Lysholm scorings, and Tegner activity levels, arthroscopic meniscal repair with Surestitch All inside meniscal repair implant provided satisfactory and favorable functional outcomes with no remarkable adverse events.

AK3

A Single-Centre, Retrospective, Observational Study to Assess Safety and Functional Outcomes of Arthroscopic Meniscal Repair Using Surestitch All Inside Implant

Research Article

Karnav A. Panchal , Ashok K. Moharana , Sachin Angrish , Deepak TS

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In this retrospective study, safety and functional outcomes of arthroscopic meniscal repair surgery using Surestitch All inside implants (Sironix Arthroscopy Solutions, Healthium Medtech Limited, Bengaluru, India) were assessed. Based on the findings of IKDC, SANE, Lysholm scorings, and Tegner activity levels, arthroscopic meniscal repair with Surestitch All inside meniscal repair implant provided satisfactory and favorable functional outcomes with no remarkable adverse events.

AK4

Anatomical Landmark Technique for Femoral Tunnel Placement of Lateral Extra-Articular Tenodesis

Research Article

Abhey Wasdev, Anoop P, Rinju Krishnan, Alvin Thomas, Sandesh Manohar G, and Rajkumar S. Amaravath

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A 42-year-old female patient presented because of difficulty with walking following an injury to the left knee that had been sustained in a road traffic accident 10 months previously. The patient was diagnosed with a failed MCL reconstruction and was scheduled for revision surgical reconstruction of the medial side of the knee. During the procedure, Six inside-out menisco capsular sutures (three in Zone 4 of the medial meniscus [posterior] and 3 of the medial meniscus [anterior]) were inserted with use of no. 2-0 fibre-wire (Sironix; Healthium, Peenya, Bangalore, India) for the planned augmentation of the grafts. Grafts were clubbed together to make one limb for the femoral tunnel and two limbs for the tibial tunnels. Grafts were augmented with use of fibre tapes (Sironix; Healthium, Peenya, Bangalore, India). A 25-mm looped end of the graft was prepared with use of a Krackow stitch with no. 2 non-absorbable fibre-wire (Sironix; Healthium, Peenya, Bangalore, India) for the graft placement in the femoral tunnel and during graft insertion The femoral side was secured with an 8 x 25-mm bioscrew (Sironix; Healthium, Peenya, Bangalore, India).

AK5

Addressing Failed Surgical Reconstruction of the Medial Side of the Knee: A Case Illustration

Research Article

Rajkumar S. Amaravathi, Rinju Krishnan, Rahul Shah, Sunil Lakshmipura Krishnamurthy, Abhey Wasdev, Jaya Vaishnavi Lal

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A 42-year-old female patient presented because of difficulty with walking following an injury to the left knee that had been sustained in a road traffic accident 10 months previously. The patient was diagnosed with a failed MCL reconstruction and was scheduled for revision surgical reconstruction of the medial side of the knee. During the procedure, Six inside-out menisco capsular sutures (three in Zone 4 of the medial meniscus [posterior] and 3 of the medial meniscus [anterior]) were inserted with use of no. 2-0 fibre-wire (Sironix; Healthium, Peenya, Bangalore, India) for the planned augmentation of the grafts. Grafts were clubbed together to make one limb for the femoral tunnel and two limbs for the tibial tunnels. Grafts were augmented with use of fibre tapes (Sironix; Healthium, Peenya, Bangalore, India). A 25-mm looped end of the graft was prepared with use of a Krackow stitch with no. 2 non-absorbable fibre-wire (Sironix; Healthium, Peenya, Bangalore, India) for the graft placement in the femoral tunnel and during graft insertion The femoral side was secured with an 8 x 25-mm bioscrew (Sironix; Healthium, Peenya, Bangalore, India).

AK2

Functional outcomes after anterior cruciate ligament reconstruction procedure: A retrospective, observational study

Research Article

Manjunath DS, Biju Mohan R, Ashok Kumar Moharana, Sachin Angrish, Deepak TS

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This retrospective, observational study was conducted to assess the functional outcomes after arthroscopic ACL reconstruction procedure using Sironix knee devices. Considering remarkable results in all the functional assessment scores and no incidence of reconstruction failures, this study concludes that ACL reconstruction surgery using Sironix knee devices as safe and effective method.

AK1

Functional Outcomes of ACL Reconstruction Using Adjustable Loop Button and PLDLA-BTCP Interference Screws: A Single-Center, Retrospective, Observational Study

Research Article

Pulak Sharma , Anurag Baghel , Kumar Keshav , Amit Kumar , Abhishek Singh , Amarendra B. Singh

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This was a retrospective, observational, single centre clinical study. Patients who underwent ACL reconstruction at a tertiary trauma centre were recruited. This study aimed to assess the functional outcomes of ACL reconstruction surgery using titanium adjustable loop buttons and poly-L-co-DL-lactic acid-beta tricalcium phosphate (PLDLA- Beta TCP) interference screws of Sironix. The findings revealed a significant improvement of ACL reconstruction.

ASH1

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

Research Article

Karnav A. Panchal , Ashok K. Moharana , Sachin Angrish , Deepak TS

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This retrospective, observational, single-center, clinical study was conducted in patients who underwent rotator cuff repair surgery. This study aimed to assess the safety, efficacy, and functional outcomes after RCT repair using Ceptre® titanium screw anchor implants. The results of this study suggest that arthroscopic rotator cuff repair using Ceptre Knotted UHMWPE Suture Titanium Screw Anchor may be a considerable option for a successful surgery.

OLC3

Case report of congenital rubella syndrome with sub aortic membrane non-coronary cusp perforation and patent ductus arteriosus

Research Article

Amith Kiran, Harshika S. Shetty, Chetan Gotur, Nishith

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A case study of a 6-year-old boy with congenital rubella syndrome was presented here. Median sternotomy was performed followed by cardiopulmonary bypass. Then superior vena cava and inferior vena cava was sutured using size 4-0 trulene polypropylene suture. The aorta was cannulated using two size 2-0 Trubond polyester sutures. Then NCC perforation was repaired with pericardial patch using size 5-0 Trulene polypropylene suture. PDA double ligation was performed using size 2-0 Trubond polyester suture. Haemostasis was achieve by using Trutie-100 ligating clips (Healthium Medtech Limited). Aortotomy was closed using size 5-0 Trulene polypropylene suture in 2 layers and sternum was closed using no. 2 size Trusteel stainless steel sutures of Healthium Medtech Limited.

OLC2

A case presentation of external primary subcostal hernia in adult after chest and abdominal trauma

Research Article

Amith Kiran, Chetan Gotur, Naqueebunnisa Rasheed, Satish, Vishwas

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Primary congenital subcostal hernias are very uncommon type of hernia. Successful primary repair of a hernia of this type in an adult patient is presented in this case report. Hernia defects were closed with two Trulene mesh lengths 15x15cm. Trulene 2-0 polypropylene suture was used to secure the mesh and hernia margins. The external oblique aponeurosis was closed with a 2-0 Trusynth polyglactin-910 suture. Subcutaneous fat was closed with 2-0 Trusynth polyglactin—910 suture in 2 layers, and hemostasis was achieved with Trutie ligating clips of Healthium Medtech Limited.

OLC1

A case presentation of obstructed Morgagni’s hernia in adult after chest and abdominal trauma

Research Article

Amith Kiran, Chetan Gotur, Sri Hari Karthik Ram Pingali, Nishith

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A Morgagni hernia is an exceptionally rare type of congenital diaphragmatic hernia. A case of obstructed Morgagni's hernia in an adult following chest and abdominal trauma is presented and successfully repaired through surgical means in this case report. After procedure, defect was closed with Trulene polypropylene mesh with using twenty-four size 2-0 pledgetted Trulene polypropylene sutures circumferentially. Anterior margin of Morgagni’s defect was deficient and was created by going through Trulene polypropylene sutures. Hemostasis was achieved using Trutie ligating clips (Healthium Medtech Limited). Thoracotomy was closed with size 2-0 Trusynth polyglactin-910 suture in layers. Skin closure was done with size 3-0 Monoglyde poliglecaprone-25 sutures of Healthium Medtech Limited.

AT1

Clinical Equivalence of Polyglycolic Acid Suture and Polyglactin 910 Suture for Subcutaneous Tissue Closure After Cesarean Delivery- A Single-Blind Randomized Study

Research Article

CH R Vasundara Devi, Rathindranath Ray, Sindhu Koduri, Ashok Kumar Moharana, Deepak TS

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A single-blind, prospective, randomized study was conducted. Primiparous or multiparous women (18–40 years) with a singleton pregnancy requiring cesarean section were randomized to polyglycolic acid suture (Truglyde®, Healthium Medtech Limited) and polyglactin 910 suture (Vicryl®) group. This study compared the incidence of subcutaneous abdominal wound disruptions within the first 6 weeks of subcutaneous tissue closure with either of the sutures. Following cesarean section, subcutaneous tissue closure using polyglycolic acid suture or polyglactin 910 suture was not associated with incidence of subcutaneous abdominal wound disruptions.

AM2

Clinical Equivalence of Monoglyde® and Monocryl® Absorbable Poliglecaprone-25 Sutures: A Single-Blind, Randomized Study

Research Article

MPA Sailakshmi , Sukanta Misra , Sathyashree HS , Soukhin Acharya , Ashok K. Moharana , Deepak TS

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This is a prospective, single-blind, randomized (1:1), multicentric, two-arm study performed between September 2020 and December 2021 at two different centers across India. Women (18-40 years) with a singleton pregnancy requiring cesarean delivery were randomized to Monoglyde® (n=62) or Monocryl® (n=62) suture groups. The present study was designed to assess the effect of subcuticular skin closure using Monoglyde® vs. Monocryl® poliglecaprone-25 absorbable sutures on the risk of wound composite outcomes in the first 30 days post-partum [surgical site infection (SSI), wound dehiscence, hematoma or seroma].

HH14

The Role of 3-Dimensional Computed Tomography Paranasal Sinus in Endoscopic Fronto-Ethmoidal Recesses Osteoma Surgery: A Case Report

Research Article

Sigdel B, Neupane P, Sah K, Pokhrel A

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In this case study, a 42-year-old lady has a severe headache in the left forehead region. She was diagnosed as having fronto-ethmoidal osteoma with sinusitis and a deviated nasal septum. which was treated with endoscopic sinus surgery. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to pack the nasal cavity during endoscopic sinus surgery.

OC1

Modification of B-Lynch Stitch Technique (COMOC-MG) to Control Postpartum Hemorrhage: Clinical Perspective from 19 Cases

Research Article

Mahesh Gupta, Aditya Gupta, Dinmohammad Dadanbhai Otha, Usha Gupta

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This article describes the clinical perspective of managing PPH with COMOC-MG suture technique during cesarean delivery. The objective of the study was to share the clinical perspective of controlling PPH by COMOC-MG, a modified B-Lynch suture technique. The findings of review using the COMOC-MG suture technique is in agreement with previous technique, but with the added benefits of the single puncture on either side and the dual mechanism involving compression of uterus and occlusion of the uterine artery. The COMOC-MG stitch technique is simple and easy to perform, with a single puncture required on each side of the uterus. It also has the potential to reduce postpartum transfusion requirements and hysterectomy rates in women with PPH. It avoids uterine infection by respecting the uterine cavity and may help maintain fertility.

NACF3

Implant Free Repair of Pediatric Patella Sleeve Avulsion Fracture

Research Article

G Sathya Vignes, Santosh Sahanand, David V Rajan

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A 10-year-old boy was admitted with severe pain in his Right knee on kicking the ground while playing foot-ball. Knee swelling, haemarthrosis and periarticular tenderness were noted. On physical examination, an extension lag of 15 was observed. The active range of motion of the injured knee was 45-60° of flexion. Radiography showed an avulsion fracture of the lower pole of the patella and a high-riding patella. We performed open reduction and internal fixation surgery with Transosseous Tunneling and Suture Pull Through using a multi-strand, long chain ultra-high molecular weight polyethylene (UHMWPE) wire. At 6 weeks after surgery, there was no extension lag, and the active range of motion of the injured knee was 0-140° of flexion. This technique of ImplantFree ORIF was effective in the treatment of sleeve fracture of the patella and alleviates the need for a resurgery for implant removal.

NACF1

Remnant-Preserving Anterior Cruciate Ligament Reconstruction: Remnant Envelope Technique

Research Article

Inderdeep Singh and Avtar Singh

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The patient was diagnosed with ACL tear and hence ACL reconstruction was performed. During reaming of the femoral tunnel, the knee was held in full flexion, the next step involved passing suture into the remnant, which is performed after the passage of a flexible cannula (Passport) with an antegrade self-retrieving suture passer (Firstpass). No. 2 ultrahigh-molecular-weight polyethylene suture material (Clinifibre of Healthium Medtech Limited) was used. The described technique concluded that it can be a good option because it may provide a better scaffold along the direction of the native ACL collagen for early and better ligamentization of the graft.

ATS1

Absorbable sutures: chronicles and applications

Review Article

Prema D’Cunha, Benudhar Pande, Muralidhar S. Kathalagiri, Ashok Kumar Moharana, Deepak T. S., Cismitha Sharol Pinto

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Surgical sutures are imperative in management of surgical and traumatic wounds.1,2 Ligating blood vessels and approximating tissues are two common uses of sutures. Sutures are primarily used to oppose tissues together to assist and accelerate the recovery process after an incident or surgical operation.2,5 In addition, sutures also aid in obliteration of dead space, even distribution of stress on the incision line, and maintenance of adequate tensile strength throughout the critical wound healing process until appropriate tissue strength is achieved. Although staples, tapes, and adhesives may be used to close wounds, sutures are the most common method of wound closure.

ATSF1

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair

Research Article

Dongabanti Hemalatha Devi, Chethana Bolanthakodi, Prema D’Cunha, Mudiki Bheema Bai, Ashok Kumar Moharana, Deepak TS

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This was a single-blind, randomized, prospective study conducted in Primiparous or multiparous women (18—40 years), who required episiotomy during vaginal delivery. Either Trusynth Fast®, Healthium Medtech Limited or Vicryl Rapide® suture was used for their episiotomy repair. This study was designed for subjective assessment of perineal pain post-episiotomy repair, with Trusynth Fast® and Vicryl Rapide® polyglactin 910 fast-absorbing sutures. The study showed no significant difference in perineal pain between the two groups.

NATS6

Quantitative Assessment of 3D Printed Blood Vessels Produced with J750 Digital Anatomy for Suture Simulation

Pre-Clinical Article

Stefania Marconi, Valeria Mauri, Erika Negrello, Luigi Pugliese, Andrea Pietrabissa, Ferdinando Auricchio

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The present work focuses on blood vessels, with the aim of identifying – by means of both qualitative and quantitative tests - materials combinations able to best mimic the behavior of the biological tissue during anastomoses. Puncture tests and stitch traction tests are used to quantify the performance of the various formulations. In puncture tests it was necessary to use a rectilinear needle; after an unsuccessfully manual rectification on the needle of the selected Prolene 5/0 surgical thread, a rectilinear needle with the most similar characteristic to Prolene 5/0 was selected (Trusilk USP 4/0, a rectified 19mm cylindrical needle of Healthium Medtech Limited).

NATS2

Neuroprotective Effects of Theobromine in Permanent Bilateral Common Carotid Artery Occlusion Rat Model of Cerebral Hypoperfusion

Pre-Clinical Article

Javeed Ahmad Bhat and Manish Kumar

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The current study evaluated the neuroprotective potential of theobromine against cerebral hypoperfusion (CH) in the permanent bilateral common carotid artery occlusion (BCCAO) prototype in wistar rats. A ventral midline cut was given in the neck between sternocleidomastoid and sternohyoid muscles parallel to the trachea. Common carotid arteries (CCA) were identified adjacent to the sternocleidomastoid muscle, and both right and left CCA was bisected carefully from the adventitial sheath and vagosympathetic nerve. A 3-0 silk suture (TRUSILK®) was sterilized, and both CCAs were double-ligated.

NATS1

Single blind, randomized study comparing clinical equivalence of Trusilk® and Mersilk® sutures following surgical removal of mesioangular impacted mandibular third molar

Research Article

Ramdas Balakrishna, Dharnappa Poojary, Arvind R, Shrikanth Sali, Ashok Kumar Moharana, Deepak TS

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This multicenter, prospective, two-arm, parallel-group, randomized (1:1), single-blind study included subjects (Trusilk®, Healthium Medtech Limited and Mersilk®), requiring mucosal suturing following impacted mandibular third molar removal. This study compared tissue reaction/inflammation after 3 and 7 days of mucosal closure with Trusilk® and Mersilk® silk sutures. No significant difference was observed among both the groups.

NATN6

Surgical management of orchitis in Gir bullock by scrotal ablation technique

Pre-Clinical Article

V. Mahesh, H. Rashmitha, Preetham Kumar S.V., Shivaraju E. and B.N. Nagaraja

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A Gir bullock 4 years of age was presented with the complaint of swelling in the scrotal region since one month. Previously it was castrated two months back, hence orchitis was seen in only one testis due to faulty castration. Upon aspiration of the swelling pus-filled fluid was seen in the swelling. After surgical treatment, skin was sutured using trulon no.2 (Healthium Medtech Limited) in simple interrupted pattern. The wound healing was normal without any complications.

NATN1

A single-blind randomised controlled trial comparing clinical equivalence of Trulon® and Ethilon® polyamide sutures for the skin closure following laparotomy incisions

Research Article

Y. Aruna Subha Shree Rao, R. Padmasri , T.K. Divya, Ashok Kumar Moharana, T.S. Deepak

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This multicentric, prospective, two-arm, parallel-group, randomized (1:1), single-blind study was conducted in women undergoing laparotomy-based obstetric/gynecological procedures. This study compared the rate of wound infection post-laparotomy skin closure using Trulon® (Healthium Medtech Limited) and Ethilon® polyamide sutures. Non-significant differences were observed between the two groups.

HH35

Extremely low frequency magnetic exposure attenuates oxidative stress and apoptotic cell death in injured spinal cord of rats

Research Article

Sajeev Ambalayam & Rashmi Mathur

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In this study, adult male Wistar rats were used in the standardisation of antioxidant enzyme assays and TUNEL assay (3 for each assay), the biochemical assay of oxidative stress markers (n = 24; 6 in each group), and the cell death study (n = 72; 6 in each group). During spinal cord injury surgery, after skin incision and laminectomy absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to fill the injury gap.

AWD3

Trushield NXT Non Adherent Wound Dressing versus Standard of Care Dressing among Women Undergoing Obstetric and Gynaecological Surgeries: A RCT

Research Article

Rathindranath Ray, Rehana Sarkar, Subhalaxmi Gupta, Tirna Halder

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An investigator-initiated, single-centre, prospective, two-arm, parallel-group, randomised (1:1) clinical study was conducted. Women in the age group of 18-65 years, undergoing obstetric and/or gynaecological surgeries at the site were enrolled and randomised to Trushield NXT non adherent wound dressing and SOC groups. This study compared the effectiveness of Trushield NXT non adherent wound dressing over SOC dressing (cotton + povidone + leucoplast) in postoperative wound management of obstetric and gynaecological surgeries.

AWD2

Antimicrobial properties of Theruptor 3D-hydrocellular wound dressing: An in vitro study

Pre-Clinical Article

Richie Gupta, KVNN Santosh Murthy, K.R. Bhagavan, Ashok Kumar Moharana, Michael Rodrigues, Deepak TS

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This study evaluated short (0, 1, 4, 30 min, and 4 h) and long (7, 14, and 28 days) term antimicrobial efficacy and non-leaching properties of Theruptor 3D-hydrocellular wound dressing of Healthium Medtech Limited against a broad spectrum of microbes including gram positive-bacteria, gram-negative bacteria, and fungi. This is the first in vitro study in the literature that predominates the antimicrobial efficacy of DTAC technology-based Theruptor wound dressings.

AT8

Unusual cases of foetal death in Pitbull bitches: Foetal mummification and maceration

Pre-Clinical Article

S. Ruhil, S. Potliya, H. Singh and R. Singh Bisla

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The present report describes the rare cases of foetal deaths in two Pitbull bitches. The cases were diagnosed as foetal mummification and maceration. In both bitches ovario-hysterectomy was performed. Abdominal wall was closed with absorbable Truglyde suture no. 2 (Healthium Medtech Limited) in two layers.

OG1

Assessment of safety, usability and performance of sterile latex surgical glove pre-powdered of Healthium Medtech limited: a survey study based on questionnaire

Research Article

Dayananda S., Dinesh M. G., Prabhat Yaji, Ashok Kumar Moharana, Deepak T. S.

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This clinical Investigation was conducted as a non-interventional, user survey, questionnaire-based post marketing clinical follow-up investigation. Healthcare professionals (HCPs) from various hospitals across India were included in this survey as participants. The objectives of this study was to clinically investigate were to evaluate the safety of Truskin gloves of Healthium Medtech Limited (Sterile latex surgical glove pre-powdered), by assessing the incidence of allergic reactions and usability in terms of manual dexterity, tactile sensitivity, handgrip strength, muscle activity, comfort level during usage and product complaints/ issues. The results from this study demonstrates both the safety and performance of Truskin gloves.

OG2

Questionnaire based evaluation of the safety, usability and performance of Trupoly powder- free sterile latex surgical gloves

Research Article

Dayananda S., Dinesh M. G., Prabhat Yaji, Ashok Kumar Moharana, Deepak T. S.

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This clinical Investigation was conducted as a non-interventional, user survey, questionnaire-based post marketing clinical follow-up investigation. Healthcare professionals (HCPs) from various hospitals across India were included in this survey as participants. The objectives of this study was to clinically investigate were to evaluate the safety of Trupoly gloves of Healthium Medtech Limited (Sterile latex surgical glove powder free), by assessing the incidence of allergic reactions and usability in terms of manual dexterity, tactile sensitivity, handgrip strength, muscle activity, comfort level during usage and product complaints/ issues. The results from this study demonstrates both the safety and performance of Trupoly skin gloves.

OG3

Antimicrobial Efficacy of Trushield™ Gloves: an In vitro Experimentation-Based Review

Pre-Clinical Article

Manu Shankar, Shahzad Marghoob Ali, Mahesh Gupta, Ashok Kumar Moharana, Deepak TS

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Trushield™ gloves could be a promising and user-friendly advancement in the healthcare sector by providing additional protection against pathogens. In the present study, we evaluated and compared the antibacterial efficacy of Trushield™ gloves (Healthium Medtech Limited) to that of sterile latex surgical gloves against gram-positive bacteria, gram-negative bacteria, yeast, and fungi. Trushield™ antimicrobial gloves demonstrated antimicrobial efficacy to the extent of 2 log reduction at 5 min, 3 log reduction at 10 min, 4 log reduction at 30 min, and > 4 log reduction at 1 h and beyond. Trushield™ gloves could be a promising and user-friendly advancement in the healthcare sector by providing additional protection against pathogens.

ATSF2

A prospective, randomized, single blind study comparing polyglactin-910 fast suture and chromic catgut suture in episiotomy repair

Research Article

Tanya, Roopa N. K, Rekha N

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A prospective, randomized, single blinded study was conducted in women aged 18-35 years with a singleton pregnancy undergoing vaginal delivery with episiotomy. Either chromic catgut (n=58) or polyglactin-910 fast (n=58) suture of Healthium Medtech Limited was used in episiotomy repair. This study compared the effect of two different suture materials in the repair of episiotomy and its complications. The study concluded that polyglactin-910 fast absorbable suture is superior to chromic catgut suture and recommended its use over chromic catgut suture.

ATG8

Control Release of AP Osteogenic Differentiation within a Bone Integrative EGCG-g-NOCC/Collagen Composite Scaffold toward Guided Bone Regeneration

Pre-Clinical Article

Neeraj K. Verma, Aditya K. Kar, Amrita Singh, Pankaj Jagdale, Neeraj K. Satija, Debabrata Ghosh, and Satyakam Patnaik

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The study aims at understanding the role of melanocortin receptors (MC-R) in nicotine-induced reward behavior following ovariectomy in rats. During the procedure, approximately 2cm incision was made through the lower abdominal skin, fallopian tubes were traced and both ovaries were removed. The inner skin was sutured with interrupted absorbable sutures (TRUGUT®, 5-0 Healthium Medtech Limited).

NATL2

Dystocia due to breech presentation and caesarean under local anaesthesia and sedation in a mare: A case report

Pre-Clinical Article

Akshay Sharma, Vijender Negi, Pururava Sharma, Harish Kumar, Ananya Sharma, Madhumeet Singh, Pravesh Kumar

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A nulliparous non-descript mare presented at full term with a history of straining (utero-abdominal contractions) for the last 24 hours. Vaginal examination revealed a dead foal in posterior presentation with bilateral hip flexion and dorso-iliac left position. The per-vaginal delivery of the foal could not be attempted; therefore, caesarean section was planned. Post-surgery, closure of skin incision was done via polypropylene size 1 (Trulene, Healthium Medtech Limited) using simple interrupted pattern.

HH10

Effects of intraoperative placement of tetracycline, tetracycline + gelatin sponge, and placebo on postoperative pain after mandibular molar extraction

Research Article

Vinay Patil, P.N. Ramaraj, Mandeep Sharma, Rohit Singh, Abhijith George, Bhaskar Roy

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In this case report, a 45-year-old male reported with the chief complaint of receding gums in relation to 13, 14, and 15. The concerned teeth had no mobility, with a recession of 5 mm with 13 and a recession of 2 mm with 14 and 15 on the labial surface. According to Nordland and Tarnow's classification, 13 had a grade II recession, and 14 and 15 had a grade I recession. Post-surgery, AbGel from Healthium Medtech Limited was used to control the bleeding from the palatal site.

HH9

Esthetic Root Coverage by Subepithelial Connective Tissue Graft with Management of Repeated Rupture of Palatal Arterial Bleeding: A Rare Case Report

Research Article

Archana Agroya, Shilpa Sunil Khanna, Parul Chhabra, Ami Mayurkumar Sheth, Naresh Vattikunta and Navneet Kaur

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In this case report, a 45-year-old male reported with the chief complaint of receding gums in relation to 13, 14, and 15. The concerned teeth had no mobility, with a recession of 5 mm with 13 and a recession of 2 mm with 14 and 15 on the labial surface. According to Nordland and Tarnow's classification, 13 had a grade II recession, and 14 and 15 had a grade I recession. Post-surgery, AbGel from Healthium Medtech Limited was used to control the bleeding from the palatal site.

HH6

In vitro and in vivo Biocompatibility Evaluation of Freeze Dried Gelatin Haemostat

Pre-Clinical Article

Sneha Letha S, Santosh Kumar Shukla, Neena Haridas, Smitha R P Sidharth Mohan M, Archana V, and Rosemary M J

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In this invitro studies, the sponges were evaluated by morphology analysis, tensile strength and blood-absorption studies. Freeze-Dried Gelatin Haemostat is compared with the absorbable gelatin sponge (AbGel, Healthium Medtech Limited) in terms of break stress and blood absorption. Break stress for freeze-dried gelatin haemostat was found to be 0.066 N/mm2, and AbGel was 0.064 N/mm2, the haemostat has considerable strength to withstand any rupture and easier to handle during application.

AWD1

A comprehensive review on wound dressing usage in clinical settings

Review Article

Sanjay P Sonar, Naveena AN Kumar, Nasheed Ali, Ashok Moharana and Deepak TS

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Wound healing is a natural physiological phenomenon for restoring anatomical integration and functionality. In this comprehensive review, we first briefly discussed the wound repair process followed by wound dressing, the characteristics of ideal wound dressing, and its categorization. This review aims to provide an overview of different aspects of wound dressing types contributing to the effective treatment of particular skin wounds.

OTS5

Management of complex asymmetric deficiency of hard and soft tissue for implant-based rehabilitation

Research Article

Yazad Gandhi

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A healthy female 60 years of age, consulted for fixed solution to her loose dentures. A decision was arrived at to rehabilitate the patient with a screw-retained metal ceramic prosthesis. After the procedure, free gingival graft harvest was done where the Grafts were adapted and secured using 5,0 polyglactin sutures. Collagen fleece (Collatape, Zimmer Biomet, USA) was placed with cyanoacrylate (Truseal, Sutures India) at the donor sites.

OTS3

Does port type or wound closure technique influence cosmetic outcomes in laparoscopic pediatric urology procedures?

Research Article

Ramesh Babu and Abhinav Sihag

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This study concludes that a smooth profile port and subcuticular/adhesive closure during laparoscopic paediatric urology procedures provide a superior cosmetic appearance when compared to a screw profile port. This study initially followed subcuticular closure or glue approximation using screw profile port technique, but the screw profile of the port rendered the wound circular and the approximation of the wound edges was not satisfactory. Later, technique was changed for smooth profile port; and the wound was closed with subcuticular undyed polyglycolic acid suture for 5 mm ports or n-butyl-2- cyanoacrylate glue (Truseal® Healthium Medtech Limited) in case of 3 mm ports.

OTS2

Management of Malignant Ascites by Indwelling Tunnelled Catheters in Indian Setup: A Case Series

Research Article

Praneeth Suvvari, Abhijit Nair, Srinivasa Shyam Prasad Mantha, Mohammad Salman Saifuddin, Vibhavari Naik, and Basanth Kumar Rayani

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The purpose of this case series is to put forward experiences in managing patients with terminal Malignant Ascites using indwelling tunnelled catheters (ITCs). ITCs have the advantage of increased patient comfort being soft on abdomen, less painful, easy to tap fluid, and less chances of infection etc. A total of 5 patients underwent in-sertion of ITC after proper counselling and assessment. Two patients had slight pericatheter leak that was managed with securing a suture around the leak site and applying Truseal (N-Butyl-2-Cyanoacrylate gel) later at the same site. ITC’s are a suitable option to manage symptoms in patients with terminal malignant ascites.

OTS1

Comparative Evaluation of N-Butyl Cyanoacrylate with Braided Silk Suture after Periodontal Flap Surgery: A Randomized Controlled Trial

Research Article

Sourav Chandra, Pratibha Shashikumar, Swet Nisha

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This clinical study was carried out to compare the efficacy of N-butyl cyanoacrylate with braided silk sutures after a periodontal flap surgery in terms of wound healing, postoperative pain experienced by study subjects, and the time required for completion of flap closure. Flap closure was done either by N-butyl cyanoacrylate in the test group or 3-0 black braided silk sutures in the control group according to the allocation. In the test group after holding the flap in the final closure position, N-butyl cyanoacrylate (Truseal of Healthium Medtech Limited) was applied in a drop-wise manner at the flap margins until a thin film of the adhesive was formed. In the control group, the flap was secured by independent loop sutures

AT4

Surgical management of true vaginal prolapse in a Mongrel bitch

Pre-Clinical Article

S. Ruhil, S. Potliya, H. Singh, A. Kumar and R. S. Bisla

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A 4 year-old, Mongrel bitch was presented with the complaint of a large oedematous mass protruding from vulvar lips since the time of whelping. Surgical management of Type III vaginal prolapse by modified Schaefer’s technique was performed. During procedure, a series of horizontal mattress sutures were applied by using absorbable Truglyde suture No. 2 (Healthium Medtech Limited) at the entire circumference and prolapsed mass was excised carefully by electric thermocautery.

ATS2

Raman spectroscopic study of the effect of the use of laser/LED phototherapy on the repair of complete tibial fracture treated with internal rigid fixation

Pre-Clinical Article

Antônio L.B. Pinheiro, Luiz G.P. Soares, Aline C.P. da Silva, Nicole R.S. Santos, Anna Paula L.T. da Silva, Bruno Luiz R.C. Neves, Amanda P. Soares, …

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In this study, open surgical tibial fractures were created on 18 rabbits and fractures were fixed with internal rigid fixation. The irradiation started immediately after treatment prior the suturing and it was repeated at every other day for 2 weeks, transcutaneously. After suturing (Trusynth®4-0 polyglactin and Trulon®4-0 nylon, Healthium Medtech Limited), the animals received intramuscular antibiotics.

ATG7

Nicotine-induced brain stimulation reward is modulated by melanocortin-4 receptors in ovariectomized rats

Pre-Clinical Article

Manoj A. Upadhya, Harshita M. Upadhya, Chandrashekhar D. Borkar, Amit G. Choudhary, Uday Singh, Priyanka Chavan, Amul Sakharkar, Praful Singru, Nishi…

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The study aims at understanding the role of melanocortin receptors (MC-R) in nicotine-induced reward behavior following ovariectomy in rats. During the procedure, approximately 2cm incision was made through the lower abdominal skin, fallopian tubes were traced and both ovaries were removed. The inner skin was sutured with interrupted absorbable sutures (TRUGUT®, 5-0 Healthium Medtech Limited).

ATG4

Partial Gastrectomy Concurrent with Enterectomyin a Rat model: An Evaluation of Sub-Clinical Electrolytes and Haematological Complications

Pre-Clinical Article

Amid S. Adetayo, Lawal Z. Omolola, Lawal F. Mobolaji, Abdulkadir S. Zubair, Alimi O. Alimi, Aliyu Abdulahi, Adediran S. Omolara

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In this study, evaluation of the effects of partial gastrectomy was performed concurrently with enterectomy on the electrolytes and haematological parameters in wistar rats. After enterectomy, the linea alba was closed with 4-0 chromic catgut (Trugut® of Healthium Medtech Limited) using simple interrupted suture pattern.

NATN7

Surgical correction of pervious urachus and imperforate urethra in a two-day-old cross bred jersey calf

Pre-Clinical Article

Sherin B. Sarangom, Kiran Viswanath, Seeja Sundaran, Preena P., Varsha Mary Mathai and Muraleedharan K.

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A two-day-old female cross bred Jersey calf was presented with history of dribbling of urine through the umbilicus, but not passing urine through the natural urethral opening since birth. The condition was diagnosed as persistent urachus and congenital imperforate urethra. Hence laparotomy was performed. Post procedure, the skin wound was closed in simple interrupted suture pattern using No.1 polyamide (Trulon, Healthium Medtech Limited).

NATB1

Dorsal phalloplasty accompanying penile prosthesis implantation minimizes penile shortening and improves patient satisfaction

Research Article

Osama Shaeer, Kamal Shaeer, Islam Fathy Soliman Abdel Rahman, Amr Raheem

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Dorsal phalloplasty (DP) is a minimally invasive and effective method for elongation of the visible length of the penis upon penile prosthesis implantation. Totally, 66 patients had DP. All patients were operated through a penoscrotal incision. The tacking suture of size-5 nonabsorbable braided polyester suture (Trubond™ of Healthium Medtech Limited) was passed through the pubic periosteum then into the subcutaneous tissue and dermis of the under surface of the pubic skin. The suture was tied after prosthesis insertion. Therefore, Dorsal phalloplasty accompanying prosthesis insertion improved visible length, minimized the impression of shortening and enhanced satisfaction with length.

HH30

Effect of Curcumin on Healing of Extraction Sockets in Type II Diabetic Patients- A Pilot Study

Research Article

R. Mugilan, Riddhika Jayaswal, Sowmya R, Sunil Sunny Vincent, Vaishali K, Kavitha Prasad

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In this study A total of 11 diabetic patients who had extraction and who satisfied the inclusion criteria (RBS= <200 mg/dL) were selected and divided into two groups: test and control. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to place Curcuma oral gel into the extraction sockets of the study group subjects. The study group patients showed a statistically significant reduction in the width and pain by day 7 (p-value = 0.002).

HH4

Comparative Evaluation to Assess the Effect of SRP with or Without Human Placental Extracts as Local Drug Delivery in Treatment of Localized Periodontal Pocket

Research Article

Aakriti Sharma, Sanjeev Sharma, Amit Nagar

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In this clinical trial, 10 patients with chronic periodontitis, bilateral localised periodontal pockets of 4-6 mm depth, were randomly allocated to groups 1 & 2, wherein in group 1, scaling and root planing (SRP) was done, while in group 2, an Absorbable Gelatin Sponge (AbGel, Healthium Medtech Limited) was used as an adsorbent for Placentrex Gel (Human placental extracts) as a vehicle and was delivered as an adjunct to SRP (scaling and root planning). Clinical variables showed a greater efficacy of SRP & adjunctive use of placental extracts as compared to conventional treatment by SRP.

OC2

COMOC MG Stitch: Modifcation of B Lynch Suturing Technique to Control Atonic Postpartum Haemorrhage

Research Article

Mahesh Gupta

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This article is based on the technique involved in COMOC-MG. The COMOC-MG (Compression of Myometrium and Occlusion of uterine artery by Dr. Mahesh Gupta), a modified B-Lynch stitch technique. It is used to puncture the uterus in the case of caesarean section and normal delivery. This modified suturing technique prevents the development of undue pressure on the suture lines as no intrauterine fluid collection occurred post-operatively with this technique. The COMOC-MG stitch technique is a valuable and safe alternative to B-Lynch or other modified B-Lynch suturing techniques for successful management of atonic PPH, while preserving fertility.

NATL3

Efficacy of rHGF-2 impregnated absorbable collagen membrane in the treatment of Miller’s Class I and II gingival recession defects

Research Article

Rampalli Viswa Chandra, Kidambi Sneha, Sabbani Pushpalatha, Yarabham Chakravarthy

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The study aims to obtain preliminary data on the efficacy of collagen membranes impregnated with recombinant human fibroblast growth factor-2 (rhFGF-2) in the treatment of Miller's Class I and II gingival recessions. Twenty-one individuals presenting with localized Miller's Class I and II gingival recessions were included in this study. Following a standard surgical protocol, the rhFGF-2-impregnated membrane was placed upon the recession site and was stabilized by suturing it to the lingual papillae using 4-0 non absorbable sutures. The flap was coronally advanced as far as possible to cover the membrane and was sutured to the buccal interdental papillae with 4-0 non absorbable sutures (Trulene™, Healthium Medtech Limited). rhFGF-2-impregnated collagen membranes showed promising results.

ATG5

Review of literature with a case report: Severe ruminal impaction caused by different types of foreign bodies in the rumen of a post parturient boer goat

Pre-Clinical Article

Sandeepa KH, Debajyoti Sarkar, Rudresh GN, Chetana DH, Vishwanth S and Mahendra S

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A 3-year-old Boer breed of goat presented with a complaint of anorexia, restlessness and repeated bloating since two days. During rumenotomy, observed that the rumen was filled with compacted foreign bodies along with calcified masses which were weighing around 1.2 kg. The ruminal content was evacuated, ruminal debris were properly cleaned, the rumen was closed Cushing’s followed by Lemberts’ sutures with Chromic Cat gut, size -2 (Trugut, Healthium Medtech Limited). The skin was later closed by polyamide size-1 (Trulon, Healthium Medtech Limited).

NATS3

One Stage Surgical Management for Third Degree Recto-vaginal Laceration in Mares: A Report of Two Cases

Pre-Clinical Article

R Pooniya, DK Jhamb, R Saini, Satveer Kumar, SK Sharma

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This paper describes the six bite suture pattern technique (Goetz technique) for repairing the third-degree rectovaginal laceration in mare in one stage. Two Marwari primiparous mares were admitted with third-degree rectovaginal lacerations. These injuries occurred during foaling. Upon examination, it was observed that ventral wall of the rectum and dorsum of the vagina were completely torn and there was a common passage for both defecation and urination. After operation was completed the skin of perineum was closed with simple interrupted silk suture No.1 (Trusilk, Healthium Medtech Limited).

NATN10

A clinico-radiographic and histomorphometric analysis of alveolar ridge preservation using calcium phosphosilicate, PRF, and collagen plug

Research Article

Tarun Kumar AB, Chaitra N. T., Gayatri Divya PS, M. G. Triveni and Dhoom Singh Mehta

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The purpose of this study was to assess the efficiency of calcium phosphosilicate biomaterial in alveolar ridge preservation. Twenty patients indicated for extraction were selected followed by socket grafting using calcium phosphosilicate. Then platelet-rich fibrin (PRF) was placed over the graft. Then, a resorbable collagen plug was placed over the PRF, and mattress sutures (5–0 polyamide, Trulon, Healthium Medtech Limited) were given which were removed after 1 week.

NATN4

LipStaT- Know Where, When and How?

Research Article

Priyanka Chopra, Shalini Kapoor, Preeti Karhana

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A 22-year-old female patient reported with the chief complaint of excessive display of gums during talking and smiling. After examination the final diagnosis was found to be EGD (B) Degree 2. Hence, LipStaT procedure was performed. Post procedure, suturing was first initiated at midline by placing interrupted sutures using 5-0 non-resorbable material (Trulon®) of Healthium Medtech Limited. The first suture was placed midway between midline and most distal aspect of dissection.

HH34

Comparative Evaluation of Formocresol, Propolis and Growth Factor as Pulpotomy Medicaments in Deciduous Teeth- An Invivo Study

Pre-Clinical Article

N Venugopal Reddy, Suseela Keerti Popuri, Daneswari Velagala, Ajay Reddy, Niharika Puppala

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In this in vivo study, ninety human primary teeth from children aged between 5-10 years were divided into three equal groups in whom pulpotomy procedure was performed and they were recalled after three and six months’ interval for clinical, radio graphical and histological evaluation. All teeth were treated and soft debris, caries and unsupported enamel and dentin were removed. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to achieve hemostasis in the platelet-derived growth factor (PDGF) group. The results indicated greater clinical and radio graphical success for the PDGF group (96.3%, 88.89%) followed by the PS group (96.3%, 88.4%) and the FC group (76%, 72%).

HH33

Photo activation of olfactory sensory neurons does not affect action potential conduction in individual trigeminal sensory axons innervating the rodent nasal cavity

Pre-Clinical Article

Margot Maurer, Nunzia Papotto, Julika Sertel-Nakajima, Markus Schueler, Roberto De Col, Frank Mohrlen, Karl Messlinger, Stephan Frings, Richard W. Ca…

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In this animal study, Transgenic mouse lines were used in this study to conduct the anterograde tracing technique. During this technique, to avoid the spreading of dye to the distal cut end, an absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to cover the distal cut end of the ethmoid nerve.

HH17

Periodontal regenerative medicine using mesenchymal stem cells and biomaterials: A systematic review of pre-clinical studies

Review Article

Sophie Portron, Assem Soueidan, Anne-Claire Marsden, Mia Rakic, Christian Verner, Pierre Weiss, Zahi Badran and Xavier Struillou

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The aim of the systematic review was to analyze the use of mesenchymal stem cells (MSC) and biomaterial for periodontal regeneration from preclinical animal models and human. The research strategy was achieved according to the Preferred Reporting Items for Systematic Reviews (PRISMA) and Meta-Analyses guidelines. In one of the study, a 27-Year-old male patient was diagnosed with intrabony defects with 9mm in depth inflammation. PDLSC + Abgel (HML) implantation has resulted in successful clinical and radiographic parameters. CAL decreased PD and satisfactory defect fill of intrabony defects.

HH2

Outcome Evaluation of Modified Uninstrumented Open-door Cervical Laminoplasty for Ossified Posterior Longitudinal Ligament with Cervical Myelopathy

Research Article

Charanjit Singh Dhillon, Shrikant Rajeshwari Ega, Raviraj Tantry, Narendra Reddy Medagam, Nilay Chhasatia, Chetan Pophale, Anand Khatavi

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In this retrospective study, the aim was to evaluate the short term outcomes of a novel self-developed technique of performing unin- strumented open-door cervical laminoplasty (ODCL) in patients with cervical myelopathy secondary to ossified posterior longitudinal ligament (OPLL). Data were collected from 54 patients who underwent uninstrumented ODCL for cervical OPLL. The preoperative and postoperative modified Japanese Orthopaedic Association score (mJOA) and Nurick grading were documented. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) is applied to the cord after hemostasis has been achieved to provide additional cord protection during surgery.

NATS7

Comparative efficacy of placental membrane and Healiguide™ in treatment of gingival recession using guided tissue regeneration

Research Article

Rupali Mahajan, Paramjit Khinda, Akhilesh Shewale, Komaldeep Ghotra, Meenu Taneja Bhasin, Prashant Bhasin

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Twelve patients having isolated bilateral gingival recession defects were included in the study and were divided into two groups randomly. Group I were treated by coronally positioned flap and amnion membrane. The flap was then positioned coronally to cover the GTR membrane. The sling suture with 5-0 black braided silk suture (TRUSILK) was used to secure it coronally. Group II were treated by coronally positioned flap and collagen membrane. Both membranes are equally efficacious in the treatment of gingival recession.

HH32

Lumbar Microendoscopic Discectomy: Clinical Results of 920 Patients

Research Article

Amitesh Dubey, Nishtha Yadav, Shailendra Ratre, Vijay S Parihar, Yad R Yadav

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In this study, nine hundred twenty consecutive patients with lumbar disk herniation underwent endoscopic interlaminar discectomy. Indication for surgery was a persistent bothersome pain in the leg despite conservative management for 12 weeks. The progressive neurologic deficit was also an indication for surgery. All the surgeries were performed using a full endoscopic technique. After the procedure, there is an increased risk of dural tear when dealing with opposite-side pathology, in spinal canal stenosis, central disk, and multiple levels. Minor dural punctures were managed by the application of a medical absorbable gelatin sponge (AbGel, HML) on the dura while significant dural tears were treated using fat and fibrin glue.

HH27

Direct application of autologous periodontal ligament stem cell niche in treatment of periodontal osseous defects: A randomized controlled trial

Research Article

Halappa Sasvehalli Shalini, Kharidhi Laxman Vandana

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The aim of this is to clinically and to radiographically evaluate the effects of direct transplantation of autologous PDLSC niche (A-PDLSc Ni) in intrabony defects. Among 28 patients, 14 sites in test group were treated with open flap debridement (OFD) followed by direct transplantation of A-PDLSc Ni and other 14 sites in control group were treated with OFD. Complete debridement of the intrabony defect was done and followed by extraction of designated tooth. The PDL tissue adherent to tooth root and alveolar socket comprised of PDLSCs along with its niche (PDL tissue niche) components were gently removed using sterile curette and mixed with gelatin sponge (Abgel ™) to form a transferable mass which was placed in the periodontal defect and was gently condensed

HH16

Endoscopic evaluation and management of epistaxis: an efficient and effective method

Research Article

Brihaspati Sigdel, Tulika dubey, Rajendra Nepali, Neeraj KC

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In this prospective study, 64 patients were presented with epistaxis were included. A nasal examination was done with a zero and 30 degree Hopkins rod endoscope and bipolar diathermy was given. Epistaxis was managed by bipolar cauterization in combination with an absorbable gelatin sponge (AbGel, Healthium Medtech Limited) in one patient.

OTS4

Impregnation of catheters with anacardic acid from cashew nut shell prevents Staphylococcus aureus biofilm development

Pre-Clinical Article

S.E. Sajeevan, M. Chatterjee, V. Paul, G. Baranwal, V.A. Kumar, C. Bose, A. Banerji, B.G. Nair, B.P. Prasanth and R. Biswas

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The effect of anacardic acid impregnation on catheter surfaces for the prevention of Staphylococcus aureus attachments and biofilm formations were evaluated. The in vivo antibiofilm activity of anacardic acid-impregnated catheters was tested in an intraperitoneal catheter-associated medaka fish infection model. The fish was anaesthetized and the abdominal wall of the fish into the intraperitoneal cavity was dissected. Catheter was inserted and Peritoneal cavity opening was sealed with TruSeal (a skin adhesive for topical wound closure). Significant reduction in S.aureus colonization on anacardic acid-impregnated catheter tubes was observed.

APD1

Evaluation of Tensile Strength of Surgical Absorbable and Non-Absorbable Suture Materials-An in Vitro Study

Pre-Clinical Article

Minu P Mathew, Saravanakumar R, Pratebha B, Karthikeyan I, Vineela Katam Reddy, Sakthi Devi S

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An in vitro study was conducted to evaluate the tensile strength and deterioration of tensile strength on 1st, 7th and 14th day using a total of 360 samples with six types of surgical absorbable and non-absorbable suture materials. Absorbable suture materials such as Catgut (Trugut), polyglycolic acid (Truglyde), polydioxanone (PD Synth) and non-absorbable suture materials such as black silk suture (Trusilk), polyester (Trubond), polypropylene (Trulene) of Healthium Medtech Limited were tested. According to this study Truglyde and Trulene can be preferred for periodontal surgeries where sutures need to be retained for longer periods. Trugut and Trusilk can be used in minor surgical procedures since there was significant deterioration in tensile strength in 7 days.

AT14

Study the effects of contact time of antimicrobial Solution on autogenous bone graft healing – an experimental Study

Pre-Clinical Article

Walid Ahmed Ghanem, Ibrahium Hussein Ahmed, Mohammed Ahmed El-Sholkamy,Ahmad Mohamad El Rawdy and Ahmed Mohammed Al Awady

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This study was carried out on twelve healthy adult dogs to evaluate the effect of contact time of autogenous bone graft with clindamycin solution on bone density around implant. Surgical procedure was carried out and the gap between the implant and extraction socket wall of alveolar bone was filled with collected autogenous bone particles. Then closure with interrupted suture was done for all animals by using 3-0 (TRUGLYDE™ manufactured by Healthium Medtech Limited).

AT2

Surgical Management of Foreign Body Obstruction of Udder Gland Cistern

Pre-Clinical Article

S.T. Maruthi, R.S. Sagar and A.G. Bhanuprakash

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A crossbred Holstein Friesian cow was presented with a history of foreign body obstruction, swollen udder and absence of milk from affected teat. Indwelling modified mammary catheter was prepared from scalp vein set and it was introduced into teat canal to avoid constriction of teat cistern. In first layer, the mucosal layer was sutured using no. 2-0 polyglycolic acid (Truglyde, Healthium Medtech Limited) in an interrupted vertical pattern. In second layer, the muscular layer was sutured in simple continuous manner using no. 2-0 polyglycolic acid (Truglyde). The skin was sutured using no. 1-0 nylon in a simple interrupted pattern. The three-layer suture technique performed was adequate to prevent leakage and promoted proper healing.

ATS3

Minimally Invasive Treatment of Mandibular Anterior Lingual Defects by Vestibular Incision Subperiosteal Tunnel Access (VISTA Technique) and Connective Tissue Graft

Research Article

Kriti Mehrotra Vijay, Triveni MG, Tarun Kumar, Dhoom Singh Mehta

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In this case report, non-smoking 55-year-old male patient presented with hypersensitivity in lower anteriors. Multiple lingual recession defects were treated by placing Subepithelial connective tissue grafts (SCTG) harvested from the palate, underneath the subperiosteal tunnel using a midline access incision. SCTG was harvested through Hurzler’s Single Incision Technique and guided using a lasso suture within the tunnel by 4-0 polyglactin suture (Trusynth, Healthium Medtech Limited).

HH37

Endovascular Treatment of a Perforated Femoral Artery

Research Article

Krishna Kumar Bhaskarapillai, Praveen Velappan, Prabha Nini Gupta, Ashish Singal, Vijayalekshmi Ambika

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In this case report, a 62-year-old male presented with non-ST-elevation myocardial infarction (NSTEMI). Since the patient had severe hypotension, surgeons opted BAIL-OUT PROCEDURE. During that procedure, Antegrade approach was used, two 80 x 50 x 10 mm pieces of Abgel were scraped into tiny pieces with a sterile scalpel and mixed with about 1-3 mL contrast; 0.5 mL of this solution was then injected through the microcatheter/glide catheter into the rent. Prior to this, a little contrast was injected into the microcatheter to ensure the tip of the glide catheter was outside the femoral artery and the contrast was flowing only into the subcutaneous space. The 0.5 mL of gel foam/contrast mixture was then injected and a cine loop image was obtained.

ATG3

Surgical and Anaesthetic Evaluation of Neuter in Guinea Pig- 2 Cases

Pre-Clinical Article

Saroj Kumar Yadav, Md. Afzal Hossain, Tuli Dey, Mohammad Bayazid Bostami, Bibek Chandra Sutradhar, Bhajan Chandra Das

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In this case report, a 35-year old male patient came with alleged history of road accident. He suffered facial laceration with degloving injury in whole of his nose, upper lip, right lower eyelid, and right cheek. He also had comminuted fracture of his nasal bones with his nasal septum exposed and loss of his upper incisors. Post procedure, nasal mucosal lining and upper gingivobuccal sulcus was sutured with 4-0 Trugut of Healthium Medtech Limited.

HH26

Extremely low frequency magnetic field protects injured spinal cord from the microglia- and iron-induced tissue damage

Pre-Clinical Article

Soumil Dey, Samrat Bose, Suneel Kumar, Ravinder Rathore, Rashmi Mathur & Suman Jain

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The present study demonstrates the potential of extremely low frequency magnetic field to attenuate microglia- and iron-induced secondary injury in Spinal Cord Injury (SCI) rats., Complete transection of the spinal cord (T13 level) was performed in male Wistar rats and subsequently exposed to magnetic field (50 Hz,17.96 μT) for 2 h daily for 8 weeks. Adult male Wistar rats were divided into three groups—control, SCI and SCI + MF. At the end of the study period, Laminectomy was performed, spinal cords were dissected to quantify microglia, macrophage, iron content and study the architecture of lesion sites. The rats were anesthetised using ketamine 60 mg/kg and xylazine 10 mg/kg (i.p.). Laminectomy (T10-T12 vertebrae) was performed to expose the spinal cord before complete spinal cord transection (T11 vertebra corresponding to T13 spinal cord) with micro-scissors. The rostral and caudal stumps of the spinal cord were gently lifted and 2.0 mm long sterile hemostatic, absorbable gelatin base foam (Abgel, Sri Gopal Krishna Pvt Ltd, India) was gently placed in the gap which was aligned with the cut ends of the spinal cord.

HH19

Formulation and Characterization of Nanomedicine (Solid Lipid Nanoparticle) Associate with the Extract of Pterospermum acerifolium

Research Article

Ankur Choubey, Ritu Gilhotra, Santosh Kumar Singh, Gopal Garg

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In this study, Acute toxicity studies were conducted according to the OECD guidelines using Swiss albino mice and were selected for the neurochemical screening. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used during the surgical technique.

HH11

Autologous Stem Cell Assistance in Periodontal Regeneration Technique (SAI-PRT) In Treatment of Grade II Furcation Defect

Research Article

Vandana KL, PriyankaJairaj Dalvi

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In this technique, a 28-year-old male reported having the chief complaint of food lodgment in the lower left back tooth region for 2 years. The periodontal evaluation revealed a periodontal pocket in relation to the left mandibular second molar midbuccally and grade II furcation involvement. For the treatment, An Absorbable Gelatin Sponge (AbGel, Healthium Medtech Limited) was used as cementum scraping. AbGel was cut into small pieces and was mixed with the autologous transplant in a sterile dappen dish to obtain a transferable mass to the selected furcation defect. Stem cell application in periodontal regeneration technique has emerged as a constructive avenue in treatment of periodontal furcation defects.

NATN5

Surgical Management of Aural Haematoma in a Rabbit – A Case Report

Pre-Clinical Article

N. G. Amith, J. S. Shruthi, P. Priya, J.K. Pramodh and T. Chandrashekar

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A one and half year-old male Soviet Chinchilla rabbit was presented with a history of head shaking, anorexia and swollen left ear since five days. The case was diagnosed as aural hematoma and decided for surgical drainage. After hematoma was drained out, series of through and through interrupted mattress sutures using no 2/0 Monofilament polyamide (Trulon®, Healthium Medtech Limited) were placed parallel to the incision with knots on the convex surface of the ear.

MTM8

Perineal Hernia in Dogs: Which Technique Should We Use?

Pre-Clinical Article

Arícia Gomes Sprada, Rafael Ricardo Huppes, João Pedro Scussel Feranti, Fernando Wiecheteck de Souza, Lívia de Paula Coelho, Paola Castro Moraes & Br…

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A 13-year-old intact male dachshund dog (8.6 kg) came with complaint of a mass in the right perineal area. Ultrasound and radiography showed bladder, prostate and bowel contained in hernia sac. The patient underwent to hernia repair with Trulene polypropylene mesh, (due to the large defect and weakness of the pelvic muscles) Healthium Medtech Limited and castration.

MTM7

Single incision multiport versus conventional laparoscopic inguinal hernia repair: A matched comparison

Research Article

Subbiah Rajapandian, Chittawadagi Bhushan, Sandeep C. Sabnis, Manish Jain, Palanivelu Praveen Raj, Ramakrishnan Parathasarthi, Palanisamy Senthilnath…

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This study included all inguinal hernia cases undergoing single-incision multiport laparoscopic totally extra-peritoneal (S-TEP) mesh repair and were compared with cases of conventional laparoscopic TEP (C-TEP). Each group had 36 patients and were divided into 2 groups. Post procedure, the peritoneum was pushed back as far as possible into the abdominal cavity. Polypropylene mesh (Trulene, Healthium Medtech Limited) of size 18 cm x 12 cm was fashioned accordingly with bladder cut on the medial side and introduced from 10 mm trocar. Mesh was positioned over the myopectineal orifice of Fruchaud and was fixed to Cooper's ligament.

MTM3

Evaluations of Implanted Polypropylene Mesh After Surgical RemovalDue to Eventration or Mesh Rejection

Research Article

Bogdan Stelian Mastalier Manolescu, Valentin Popescu, Marius Septimiu Petrutescu, Andrada Serafim, Izabela Cristina Stancu

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The aim of this study is to evaluate the polypropylene meshes behaviour and integration implanted by the Chevrel technique. 85 patients were operated using polypropylene meshes for anterior abdominal incisional hernias. The mesh and the surrounding tissue, previously removed and preserved, have been analyzed macroscopically and at microscopic level. The nonabsorbable meshes used in this study have been produced by knitting of extruded undyed monofilament polypropylene (Trulene Mesh, Healthium Medtech Limited).

HH3

Autologous periodontal stem cell assistance in periodontal regeneration technique (SAI-PRT) in the treatment of periodontal intrabony defects: A case report with one-year follow-up

Research Article

Vandana KL, Haneet Ryana, Priyanka Jairaj Dalvi

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In this case report, a 27-year-old male patient was presented with chief complaints of food lodgement in the lower right back tooth regions since two years. It was diagnosed as localized periodontitis. Based on the current literature on the use of ex vivo culture and associated problems, a humble attempt was made to harvest autologous PDLSCs for direct application using Abgel®©™ (gelatin sponge) as a scaffold in regeneration of intrabony periodontal defects, bypassing ex vivo culture. This technique was tried for the first time in the periodontal literature and it abides by tissue engineering triad of PDLSCs (cells), Abgel®©™ (gelatin sponge scaffold) and cementum scrapings (signalling molecules)

HH36

Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study

Research Article

Manidip Pal, Suvanjan Chatterjee, Soma Bandyopadhyay

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In this study, Fifteen Patients < 40 years old with a diagnosis of fibroid who planned for myomectomy were included. Local infiltration around myomas was done with vasopressin diluted with normal saline (10 units of vasopressin mixed with 100 ml of normal saline). Myomas are easily removed, absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was applied over the myoma bed, and the bed was closed. An AbGel application over the myoma bed while closing the area is a good technique to achieve hemostasis during myomectomy.

HH31

Abnormal feeding behaviour in spinalised rats is mediated by hypothalamus: Restorative effect of exposure to extremely low frequency magnetic field

Pre-Clinical Article

S Ambalayam, S Jain and R Mathur

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The aim of the study is to investigate the role of hypothalamus in abnormal feeding behaviour after spinal cord injury (SCI) and the effect of exposure to extremely low frequency magnetic field (ELF-MF) on it. Adult male Wistar rats (n=44) were divided into 7 groups. After skin incision and laminectomy, a 2-mm long sterile, haemostatic, absorbable gelatin base foam (Abgel; HML) was placed in the gap that was aligned with the rostral and caudal cut ends of the spinal cord.

HH29

Management of large radicular cyst associated with amalgam particles in cystic lining

Research Article

Swati A. Borkar, Vikas Dhupar, Abhilasha M. Gadkar and C.K.V.S. Nivedita

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In this case report, a 38-year-old male patient complains of a large periapical lesion in his mandibular anterior region. Periodontal examination revealed Grade II mobility in 33; radiographic examination revealed the presence of a large periapical lesion in mandibular anterior region overlapping the apices of mandibular incisors having well-defined radiopaque border. Endodontic treatment plan was planned. After the surgical procedure, an absorbable gelatin sponge (AbGel, Healthium Medtech Limited), was used to fill the cystic cavity.

HH22

Auto transplantation of malposed mandibular right lateral incisor

Research Article

Priyanka Shivanand, G. A. Babitha, Saubhik Ghosh, Shobha Prakash

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In this case report, a 28-year-old healthy female came with chief complaint of spacing in the lower right front tooth region. Intraoral periapical radiograph showed overlap of the tooth, with no evidence of alveolar bone loss of single tooth malposition. The donor tooth was extracted, treated endodontically, and transferred to a prepared socket and splinted. The extraction socket was grafted with PerioGlasTM and absorbable gelatin sponge (AbGel, Healthium Medtech Limited).

HH8

Autologous direct stem cell application in periodontal regeneration technique in the treatment of periodontal intrabony defects: An 1-year follow-up study

Research Article

Kharidhi Laxman Vandana, Praveen NC, Gunjan Chauhan, Deepti Mittal

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In this case report, a healthy 28-year-old male reported having the chief complaint of food lodgment in the lower left back tooth region from 8 months. It was diagnosed as localized periodontitis. Based on the current literature on the use of ex vivo culture and associated problems, an attempt was made to harvest autologous PDLSCs for direct application using Abgel®©™ (gelatin sponge) as a scaffold in regeneration of intrabony periodontal defects, bypassing ex vivo culture. This technique abides by tissue engineering triad of PDLSCs (cells), Abgel®©™ (gelatin sponge scaffold) and cementum scrapings (signalling molecules)

MTM9

Comparative analysis of open versus laparoscopic ventral hernia repair

Research Article

Suresh Badiger, Sanjay N. Koppad, Ashwin Kulkarni, Harsha Kodliwadmath

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This prospective study was performed in 100 patients to compare the outcomes after open and laparoscopic ventral hernia repair. In open mesh techniques, after procedure the posterior rectus sheath and peritoneum were closed primarily with 1:0 absorbable suture, then polypropylene mesh (Trulene mesh, Healthium Medtech Limited) of suitable size with a minimum of 5cm overlap beyond the margin of the defect and were placed between posterior rectus sheath/peritoneum and rectus muscle. The findings demonstrate that laparoscopic ventral hernia repair was safe and resulted in shorter operative time, fewer complications; shorter hospital stays, and earlier returns to daily activity. Hence, it should be considered as the procedure of choice for ventral hernia repair.

MTM6

Case series of abdominal sacral colpopexy

Research Article

Vandana Dhama, Shakun Singh, Rachna Chaudhary, Haripriya Bajwa

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This study was conducted on 8 patients scheduled to undergo abdominal sacral colpopexy, who had vault prolapse after hysterectomy. “Trulene” (Healthium Medtech Limited) Nonabsorable Polypropylene Macroporous Monofilament surgical mesh was used in all patients. One piece of mesh was attached on the anterior vaginal wall and second piece to the posterior vaginal wall. Both mesh was sutured to each other after which the posterior mesh was fixed to the anterior longitudinal ligament on sacrum.

AM1

Study of osseointegration on modified surfaces of titanium implants

Pre-Clinical Article

M. F. L. Villaça-Carvalho, L. M. R. Vasconcellos, N. N. Regone, E. N. Codaro, H. A. Acciari

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Ten rabbits received an implant into the two tibia bones. After the surgical procedure of implant placement, the muscle tissue was sutured with absorbable Number 4 (Monoglyde® Polyglecaprone 25, Healthium Medtech Limited). It is possible to conclude that the anodizing procedures used in this study positively affected the chemical composition and structure of the titanium oxide film, enhancing its biological behaviour in osteogenesis.

NATS4

Guided Tissue Regeneration Based Treatment of Root Coverage using Placental Membrane Allograft- A Case Report

Research Article

Rupali Mahajan, Amarjit Singh Gill, Paramjit Kaur Khinda, Akhilesh Shewale, S P Saravanan

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A 32-year-old male patient reported with a chief complaint of tooth hypersensitivity in the lower right back tooth region since 3 months. In this case report a case of gingival recession treated with GTR principle using amnion placental membrane was presented. After the procedure, the surgical papillae were stabilized using 5-0 interrupted black braided silk suture (Trusilk, Healthium Medtech Limited).

HH25

Lethal and nonlethal murine malarial infections differentially affect apoptosis, proliferation, and CD8 expression on thymic T cells

Pre-Clinical Article

S. Khanam, S. Sharma & S. Pathak

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In this study, the effects of P. yoelii lethal (17XL) and nonlethal (17XNL) infections on thymic T cells were examined. Adult thymic organ culture revealed that soluble serum factors, but not IFN-γ or TNF-α, contributed to the observed effects. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used as the medium for adult thymic organ culture.

HH23

A closed, safe and cost effective alternative algorithm of Isolation of bone marrow derived mononuclear cells

Research Article

R.N. Srivastava, Ashok Kumar Agrahari, Tulika Chandra, Saloni Raj

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In this study, MNC fraction isolation and infusion were performed on 20 cases of established diaphyseal non-union of the tibia. An Absorbable Gelatin sponge (AbGel, Healthium Medtech Limited) was used as a gelfoam paste to cover the bone fracture site where infusion has been done. The sample was stabilised over the fracture site by applying gel-foam paste for long-term action.

HH20

Fat graft myringoplasty in small central perforations

Research Article

Chandni Sharma, Jagat Singh, Vikas Kakkar, S. P. S. Yadav, Priya Malik, Surender Bishnoi

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In this study, the efficacy of fat graft myringoplasty (FM) for repair of small central perforations was determined. Twenty patients (10 males and 10 females) who had uncomplicated dry small central perforation, which was confined to one quadrant of the pars tensa underwent FM. After surgical procedure, Small pieces of absorbable gelatin sponge (Abgel, Healthium Medtech Limited) were inserted through the perforation into the middle ear. The fat graft was placed in the perforation through trans-tympanic technique and the canal was packed with antibiotic drops soaked pieces of gelatin sponge.

HH15

Innervation of Rat and Human Dura Mater and Pericranial Tissues in the Parieto-Temporal Region by Meningeal Afferents

Pre-Clinical Article

Markus Schueler, Winfried L. Neuhuber, Roberto De Col, Karl Messlinger

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In this in vitro study, neuronal in vitro tracing was used to reinvestigate the innervation pattern of the dura mater of the rat and human middle cranial fossa, the morpho-functional substrate of headache generation, and adjacent extracranial tissues. An Absorbable Gelatin Sponge (AbGel, Healthium Medtech Limited) was used in the preparation of rat and human skulls’ post-mortem neuronal tracings. The AbGel was placed on the distal nerve stump to prevent the spread of dye. Since the AbGel gelatin sponge absorbs the liquid, it held the dye without spreading to the adjacent nerve.

HH13

Panax quinquefolium involves nitric oxide pathway in olfactory bulbectomy rat model

Pre-Clinical Article

Puneet Rinwa, Anil Kumar

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The present study was designed to explore the possible involvement of the nitric oxide mechanism in the protective effect of Panax quinquefolium against olfactory bulbectomy-induced depression. Wistar rats were bulbectomized surgically and kept for a rehabilitation period of two weeks. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was inserted into the cavity to control bleeding after the removal of the olfactory bulb. AbGel effectively controlled the bleeding in the cavity.

HH12

Etazolate, a PD-4 enzyme inhibitor produces antidepressant-like effects in hippocampus region caused by olfactory bulbectomy

Pre-Clinical Article

Ankur Jindal, Radhakrishnan Mahesh & Shvetank Bhatt

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In this animal study, the effects of etazolate were measured in a battery of behavioural paradigms, including the forced swim test, sucrose consumption, open-arm activity in an elevated plus maze, and hyperemotionality tests. The possible underlying mechanism of etazolate in the OBX model was investigated. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used in a surgical procedure to control the excessive bleeding after the removal of the olfactory bulbs of rats. No adverse events were reported with the application of Abgel.

HH5

Building the Barrier, A Comparison of Mineral Trioxide Aggregate and Calcium Hydroxide in Apical barrier technique: Report of Three Cases

Research Article

Utpal Kumar Das, Paromita Mazumdar and Sourav Bhattacharyya

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Three cases were planned for root canal treatment. In Case 1: A 28-year-old female patient reported with a complaint of swelling of the gums and discoloration in the upper anterior teeth. In Case 2: A 18-year-old female patient reported with a complaint of fracture of maxillary left and right central incisors. In Case 3: A 19-year-old female patient reported with a complaint of discoloration in relation to upper front tooth. In all the above mentioned cases, radiographic examination revealed an immature root apex and was planned for root canal treatment using AbGel as apical stop & MTA as apical barrier.

NATN8

Renal nephroblastoma in an adult dog – a case report

Pre-Clinical Article

Kurisinkal D. J. Martin, Sherin B. Sarangom, Balakrishnan Nair D. Krishna, Narayanan D. Nair, Usha N. Pillai, Susannah B. Philip, and Ashay P. Kankon…

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This article describes a simple procedure for hemisection in mandibular molar by vertical cut method and its subsequent restoration. Patient came with a complaint of pain in the lower right back teeth. After removal of mesial root, bone graft material was placed inside the socket of the mesial root. Silk sutures (trulon, Healthium Medtech Limited) were placed to approximate the flap and periodontal pack was applied.

HH28

Preserving the natural smile by immediate reattachment of a fractured tooth

Research Article

Ramesh Bharti, Deeksha Arya, Anil Chandra, Aseem Prakash Tikku, Rakesh Yadav, and Promila Verma

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A 28-year-old female patient reported with trauma to the mandibular left central incisor. Clinical examination revealed an oblique fracture. Tooth was endodontically treated. A gelatin sponge (AbGel®, HML) was packed on the labial surface of the subgingival area to control any bleeding.

HH24

Endoscopic Inter Laminar Management of Lumbar Disc Disease

Research Article

Yad Ram Yadav, Vijay Parihar, Hemant Namdev, Moneet Agarwal, Pushp Raj Bhatele

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In this study, four hundred consecutive lumber disc herniation patients underwent endoscopic interlaminar lumbar discectomy. Single-level and double-level disc with unilateral or bilateral symptoms were included. After surgical procedure an absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used on the dura for minor dural tears while significant dural tears were treated using fat and fibrin glue.

HH18

Extracranial projections of meningeal afferents and their impact on meningeal nociception and headache

Pre-Clinical Article

Markus Schueler, Karl Messlinger, Mária Dux, Winfried L. Neuhuber, Roberto De Col

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In this study, fourteen male wistar rats were used for in- vivo neural tracings and electron microscopic examinations in rat skulls, combined with different functional measurements to investigate extracranial projections from meningeal nerves and their origin in the trigeminal ganglion. After surgical procedure, five minutes after the application the hygroscopic tracer crystal was dried and the application site was covered with a piece of gelatin sponge and parafilm to avoid spreading of the dye. Absorbable gelatin sponge (AbGel, Healthium Medtech Limited) and parafilm were employed at the application site to prevent the dye from spreading.

HH7

Quercetin suppresses the microglial neuro inflammatory response and induces anti-depressant like effect in olfactory bulbectomized rats

Pre-Clinical Article

P. Rinwa AND A. Kumar

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In this in vivo study Animals underwent olfactory bulbectomy, the hemostatic absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was Inserted into the cavity to control bleeding after the removal of the olfactory bulbs in adult male wistar rats. No adverse events occurred due to the application of AbGel, and it effectively controlled the bleeding in the olfactory bulb cavity.

ATG2

Complex Traumatic Facial Degloving Injury

Research Article

Jadhav NC, Sharad R, Lingam PP and Suhas S

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In this case report, a 35-year old male patient came with alleged history of road accident. He suffered facial laceration with degloving injury in whole of his nose, upper lip, right lower eyelid, and right cheek. He also had comminuted fracture of his nasal bones with his nasal septum exposed and loss of his upper incisors. Post procedure, nasal mucosal lining and upper gingivobuccal sulcus was sutured with 4-0 Trugut of Healthium Medtech Limited.

ATG1

Description and evaluation of a right flank, mini-laparotomy approach to canine ovariohysterectomy

Pre-Clinical Article

J. F. Reece, M. K. Nimesh, R. E. Wyllie, A. K. Jones, A. W. Dennison

 

 

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Surgical ovariohysterectomy (OVH) using a right flank approach was performed in 114 bitches (street dogs) as part of the Animal Birth Control Programme. During surgical procedure, the ovary and ovarian bursa were isolated using the standard triple-clamp method across the ovarian pedicle and an encircling ligature of 6 metrics (2 USP) chromic catgut (Trugut, Healthium Medtech Limited) was placed around the ovarian pedicle. Following removal of ovaries, the uterine body was ligated using 6 metric (2 USP) chromic catgut, and the uterine body then excised. After procedure, the incision was closed using 5 metric (1 USP) chromic catgut (Trugut) and the subcutaneous fat and fascia were closed with 3 metric (3/0 USP) chromic catgut (Trugut). These findings compare favourably with other techniques for OVH, including laparoscopic techniques.

NATS5

Recruitment of Memory B cells to Lymph Nodes Remote from the Site of Immunization Requires an Inflammatory Stimulus

Pre-Clinical Article

Gautam N. Shenoy, Priyadarshini Chatterjee, Sheetal Kaw, Snigdha Mukherjee, Deepak K. Rathore, Vineeta Bal, Satyajit Rath and Anna George

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This study shows that memory B cells generated following s.c. immunization in one footpad generate secondary responses to soluble Ag given i.p. but not to Ag given s.c. in the contralateral footpad unless LPS is co administered. Lymphadenectomy was performed on mice and the incisions were closed with Trusilk sutures (Healthium Medtech Limited) with 4-0 round sutures used for the peritoneal wall and 3-0 cutting sutures used for the skin.

MTM2

Prophylactic antibiotic use in elective inguinal hernioplasty in a trauma center

Research Article

Z. Ergul, M. Akinci, C. Ugurlu, H. Kulacoglu, K. B. Yilmaz

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The objective of this study was to investigate the effect of antibiotic prophylaxis in patients undergoing elective inguinal hernia surgery with mesh repair in a large-volume tertiary referral trauma centre. All patients who were eligible under-went open tension-free mesh herniorrhaphy using a monofilament polypropylene mesh (Trulene mesh, Healthium Medtech Limited) in a standardized Lichtenstein technique. The study concluded the most effective way to reduce our incidence of infection in prosthetic inguinal hernia repair in our hospital would be to improve infection-control procedures and, perhaps, establish a specific in-hospital hernia-repair center.

NATN3

Hemisection as an Alternative Treatment for Resorbed Multirooted Tooth – A Case Report

Research Article

Atul Jain, Rachana Bahuguna, Vineet Agarwal

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This article describes a simple procedure for hemisection in mandibular molar by vertical cut method and its subsequent restoration. Patient came with a complaint of pain in the lower right back teeth. After removal of mesial root, bone graft material was placed inside the socket of the mesial root. Silk sutures (trulon, Healthium Medtech Limited) were placed to approximate the flap and periodontal pack was applied.

NATN2

Avulsion of the lateral head of the gastrocnemius muscle in a cat

Pre-Clinical Article

Monty S Bali

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A 7-year-old male, castrated, domestic shorthair cat was presented with a plantigrade stance of the left pelvic limb. An avulsion of the lateral head of the gastrocnemius muscle was diagnosed based on clinical examination and radiographic assessment. During surgery, two bone tunnels (1.1 mm) were drilled in the lateral supracondylar tuberosity of the distal femur, and the lateral head of the gastrocnemius muscle together with the fabella were reapposed with two polyamides (0 USP Trulon, Healthium Medtech Limited) modified locking loop suture patterns. The skin incision was closed with polyamide sutures (4-0 USP Trulon, Healthium Medtech Limited).

HH21

Transcatheter Embolization of Uterine Arteriovenous Malformation: Report of 2 Cases and Review of Literature

Research Article

Shaba N. Molvi, Kiranbala Dash, Harsh Rastogi and Shakti B. Khanna

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In this case report, 2 patients with uterine AVM with abnormal vaginal bleeding had a history of abortion followed by dilation and curettage. In both patients, the diagnosis of uterine AVM was established by Doppler flow ultrasonography. An absorbable gelatin sponge (AbGel, Healthium Medtech Limited) was used to treat residual shunt via embolization of the right ovarian and left uterine arteries. Treatment using transcatheter embolization was successful.

AT10

Single-incision laparoscopic TAPP mesh hernioplasty using conventional instruments: an evolving technique

Research Article

Prabal Roy & Anushtup De

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In this study, patients presenting with symptoms of groin pain and swelling and clinically confirmed inguinal hernia were given the option to undergo single-incision laparoscopic TAPP mesh hernioplasty. After completion of procedure, braided and coated polyglycolic acid (Truglyde, SN 2826, No 1, 1/2 circle reverse cutting of Healthium Medtech Limited) was used to close the fascial incisions.

NATN9

Diagnosis and surgical management of a fractured atlas in a cat

Pre-Clinical Article

Monty S Bali

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A 6-month-old male-castrated domestic shorthair cat was presented shortly after being bitten on the neck by a large breed dog. On presentation the cat was non-ambulatory tetraparetic with preserved deep pain perception. Right-sided depressed fracture of the dorsal lamina of the atlas was diagnosed. A partial dorsal laminectomy was performed to alleviate the spinal cord compression. Post procedure, the skin incision was closed with polyamide sutures (4-0 USP Trulon, Healthium Medtech Limited).