reapproximate

reapproximate

[rē′əprok′simāt]
Etymology: L, re, again, approximare, to come near
to rejoin tissues separated by surgery or trauma so that their anatomical relationship is restored. reapproximation, n.
References in periodicals archive ?
Sutures placed in an interrupted fashion as opposed to continuous or "running" sutures are preferred because they reapproximate tissues with less tissue necrosis and less chance for luminal narrowing.
The insertion site of the sternal head is located just posterior and slightly superior to the clavicular head insertion, in all of our cases both the clavicular and sternal heads were ruptured and in these situations care should be taken to reapproximate their anatomy and orientation.
The mucosal flaps were then reapproximated; a 4-0 Vicryl rapid suture is used to reapproximate the flaps in a quilting fashion.
A series of 4-0 chromic sutures were used in interrupted fashion to reapproximate the skin and close the circumferential defect (Figure 3).
Deal with the contamination, reapproximate the midline, and then reinforce that closure with an absorbable piece of mesh.
The vas deferens is about the size of a strand of spaghetti--2-3 millimeters external diameter--and requires powerful magnification to reapproximate the edges in two to three separate layers.
Place full-thickness, interrupted delayed absorbable sutures to reapproximate the cuff edges.
Reapproximate these margins with absorbable suture (2-0 polyglactin 910 [Vicryl]) in an interrupted or running fashion, in 2 layers (9) (FIGURE 9).
Kho: I use a similar laparoscopic approach for myomectomy, using laparoscopy to assess the uterus and fibroids, enucleate the fibroid and remove it from the uterus, and then creating a mini-laparotomy incision 3 cm to 4 cm in length to manually remove or morcellate the fibroid and reapproximate the myometrium.
Not only does the presence of these fibroids leave some concern about the functional ability of the remaining myometrium in pregnancy, but it may be technically difficult to adequately resect all of the critical fibroids and reapproximate the myometrial defects.
The skin is closed with three to five sutures--one that reattaches the center of the umbilicus to the fascial plate and one or two inverted sutures on either side that reapproximate the lower and upper poles of the umbilicus.