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A new clamp for bilamellar tarsal rotation for trachomatous trichiasis.

Waddell K - Community Eye Health (2009)

View Article: PubMed Central - HTML - PubMed

Affiliation: Mobile Ophthalmologist, Ruharo Health Centre, PO Box 14, Mbarara, Uganda. Email: Ruharo@bushnet.net.

AUTOMATICALLY GENERATED EXCERPT
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Also, after the forceps are taken off, stitches then have to be put in a floppy, bleeding lid... I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons... Only one short piece of stitch and one needle are used for all stitches, as opposed to three double-armed in the WHO method, so it is economic to use absorbable suture and the patient need not return for stitch removal... The end result is a neat operation, likely to be successful (Figure 4)... For very severe cases with total in-turning of all lashes, however, I find this operation is not successful: a Trabut procedure is needed, as other surgeons have also found... The clamp is available from: Collton Hailsham Ltd, Unit 1B, Hankham Hall Cottage, Hankham Hall Road, Westham, Pevensey, West Sussex, BN24 5AH, UK... Tel/Fax: +44 1323 743629... Email: colltonhailsham@btconnect.com The clamp comes with a leaflet describing its correct use... A CD-ROM of the procedure will be available soon... We have found the clamp fits most eyes (even children's), but smaller and larger models are available for the few patients with very contracted or large conjunctival sacs. the author has no commercial interest in the clamp... Suggestions for improvement are welcome.

No MeSH data available.


Inserting the first stitch after the cut has been completed
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Figure 4: Inserting the first stitch after the cut has been completed

Mentions: Whilst the lid is still held in the clamp, the stitches can be put in easily and accurately. Figure 3 shows the cut completed and the first stitch being inserted. Stitches start through the skin and muscle of the lid edge, then through the upper tarsal plate partial thickness side to side, and finally back beside the first bite. The stitches at the ends of the incision are tied firmly whilst still in the clamp. The central stitch is left loose until the clamp is taken off, so it can be adjusted accurately.


A new clamp for bilamellar tarsal rotation for trachomatous trichiasis.

Waddell K - Community Eye Health (2009)

Inserting the first stitch after the cut has been completed
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2683558&req=5

Figure 4: Inserting the first stitch after the cut has been completed
Mentions: Whilst the lid is still held in the clamp, the stitches can be put in easily and accurately. Figure 3 shows the cut completed and the first stitch being inserted. Stitches start through the skin and muscle of the lid edge, then through the upper tarsal plate partial thickness side to side, and finally back beside the first bite. The stitches at the ends of the incision are tied firmly whilst still in the clamp. The central stitch is left loose until the clamp is taken off, so it can be adjusted accurately.

View Article: PubMed Central - HTML - PubMed

Affiliation: Mobile Ophthalmologist, Ruharo Health Centre, PO Box 14, Mbarara, Uganda. Email: Ruharo@bushnet.net.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Also, after the forceps are taken off, stitches then have to be put in a floppy, bleeding lid... I have prepared a new design of clamp, which has worked well in the field in Uganda and Sudan, including when it was used by nurse surgeons... Only one short piece of stitch and one needle are used for all stitches, as opposed to three double-armed in the WHO method, so it is economic to use absorbable suture and the patient need not return for stitch removal... The end result is a neat operation, likely to be successful (Figure 4)... For very severe cases with total in-turning of all lashes, however, I find this operation is not successful: a Trabut procedure is needed, as other surgeons have also found... The clamp is available from: Collton Hailsham Ltd, Unit 1B, Hankham Hall Cottage, Hankham Hall Road, Westham, Pevensey, West Sussex, BN24 5AH, UK... Tel/Fax: +44 1323 743629... Email: colltonhailsham@btconnect.com The clamp comes with a leaflet describing its correct use... A CD-ROM of the procedure will be available soon... We have found the clamp fits most eyes (even children's), but smaller and larger models are available for the few patients with very contracted or large conjunctival sacs. the author has no commercial interest in the clamp... Suggestions for improvement are welcome.

No MeSH data available.