Cheesewiring

In medicine the term cheesewiring or cheesewire effect describes any process in which cells or intercellular matrix are dissected or extruded either by the material being pressed through a taut element, or by the tension of a taut element pulling through tissue.

As a complication

Cheesewiring can be a complication or part of a negative outcome of a procedure. Examples include tumor growth penetrating the openings in a bowel stent that was placed to open an obstructed bowel,[1] sutures used to hold a transplanted cornea in place cutting through the cornea,[2] and treatment of tendon rupture, when sutures pull through the tendon.[3]

As an intentional procedure

The term can also be used for to name the process of using a guidewire or suture intentionally to cut through tissue during a surgical procedure or allowing a suture to slowly cut through tissue over time.[4][5][6] Treatment of fistulas often involves placing a suture and allowing it to cut off the fistula over time.[7]

See also

References

  1. ↑ Vrazas, JI; Ferris, S; Bau, S; Faragher, I (June 2002). "Stenting for obstructing colorectal malignancy: an interim or definitive procedure". ANZ Journal of Surgery. 72 (6): 392–6. doi:10.1046/j.1445-2197.2002.02426.x. PMID 12121155.
  2. ↑ Bartels, MC; van Rooij, J; Geerards, AJ; Mulder, PG; Remeijer, L (June 2006). "Comparison of complication rates and postoperative astigmatism between nylon and mersilene sutures for corneal transplants in patients with Fuchs endothelial dystrophy". Cornea. 25 (5): 533–9. doi:10.1097/01.ico.0000214218.60249.e5. PMID 16783141.
  3. ↑ Peltz, TS; Haddad, R; Scougall, PJ; Nicklin, S; Gianoutsos, MP; Oliver, R; Walsh, WR (October 2015). "Structural Failure Mechanisms of Common Flexor Tendon Repairs". Hand Surgery. 20 (3): 369–79. doi:10.1142/S0218810415400092. PMID 26387996.
  4. ↑ Ullery, BW; Chandra, V; Dake, M; Lee, JT (January 2015). "Cheese wire fenestration of a chronic juxtarenal dissection flap to facilitate proximal neck fixation during EVAR". Annals of Vascular Surgery. 29 (1): 124.e1–5. doi:10.1016/j.avsg.2014.07.025. PMID 25192823.
  5. ↑ Tashiro, J; Baqai, A; Goldstein, LJ; Salsamendi, JT; Taubman, M; Rey, J (August 2014). ""Cheese wire" fenestration of a chronic aortic dissection flap for endovascular repair of a contained aneurysm rupture". Journal of Vascular Surgery. 60 (2): 497–9. doi:10.1016/j.jvs.2013.06.066. PMID 23911248.
  6. ↑ Prem-Venkatesh; Ramamurthi, S; Montgomery, DM (April 2007). "The use of a "cheese-wire" suture in trabeculectomy". The British Journal of Ophthalmology. 91 (4): 500–4. doi:10.1136/bjo.2006.100057. PMC 1994764. PMID 17372339.
  7. ↑ Moses, RA; Ann Gormley, E (August 2017). "State of the Art for Treatment of Vesicovaginal Fistula". Current Urology Reports. 18 (8): 60. doi:10.1007/s11934-017-0708-5. PMID 28656520.


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