Reverse Swiss Roll technique for diabetic vitreous membranes

Background: Diabetic membranes are always a challenge for a surgeon because of sticky nature and chances of iatrogenic break while removing. Purpose: To demonstrate a safe reverse swiss roll technique to dissect diabetic vitreous membranes. Synposis: Approaches and techniques for membrane dissection are segmentation, delamination and en-bloc dissection using various types of instruments and illumination. With vitreous cutte, picks and scissors, surgical steps are traditionallu performed by using classic lift and shave technique. After identifying the plane, tissue is lifted and then cut, which puts the retina at risk of break because of traction and active suction. Such a threat can be reduced by placing the cutter above the membrane thereby having the membrane itseld acting as a protective cushion to the retina. Port here, unlike lift and shave technique, doesn抰 face the edge of membrane but is exactly 180 degree opposite and membrane curls into port because of suction. Also, hemostasis is maintained by continuous aspiration and cutting as the instrument is moved side to side, retracting from the edge. Highlights: Reverse swiss roll technique is safer compared to lift and shave because of the safety cushion of the membrane between the port and the retina. There is inherently less chances of retinal break because the active suction from the port is directed away from the retina. The technique also minimises traction and localised pull on the atrophic macula

Absceso gingival después de aumento de reborde alveolar con técnica en rollo modificada. Reporte de caso / Gum Abscess after an Alveolar Ridge Augmentation with the Modified Roll Technique. A Case Report

Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de los rebordes alveolares durante el tratamiento de rehabilitación y, así, disminuir el dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de una técnica en rollo modificada que presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.

Background: The modified roll technique has been widely used to improve the aesthetics of the alveolar ridge deficiencies during the rehabilitation treatment and, in turn, to reduce the postoperative pain. Objective: To describe a clinical case of an alveolar ridge augmentation with the modified roll technique in which an abscess appeared during the first postoperative weeks. The clinical management of the case is also detailed herein. Results: After a clinical and microbiological diagnosis, the patient was indicated an antibiotic treatment. In the postoperative four-month checkup, a full solution of the abscess was observed.

Soft tissue ridge augmentation using “roll technique” – A case report.

The defects of the alveolar ridge can result from various causes, most common being the collapse of alveolar bone during extraction. Localized defects of alveolar crest impair prosthetic rehabilitation due to poor emergence profile of the pontic which in turn adversely affects the aesthetics and function. Several alternatives have been proposed to restore the damaged ridge by hard and soft tissue augmentation. Various soft tissue ridge augmentation techniques have been used to augment alveolar ridge with varying success. The present clinical report describes the “roll technique” as a means of soft tissue ridge augmentation to treat alveolar ridge defects.

Radioguided occult lesion localization versus wire-guided localization for non-palpable breast lesions: randomized controlled trial

AIM: This prospective randomized clinical study was conducted to compare radioguided occult lesion localization (ROLL) with wire-guided localization to evaluate optimum localization techniques for non-palpable breast lesions. METHODS: A total of 108 patients who were undergoing an excisional biopsy for non-palpable breast lesions requiring pathologic diagnosis were randomly assigned to the ROLL group (n = 56) and wire-guided localization group (n = 52). In the study, patients' characteristics, radiological abnormalities, radiological technique of localization, localization time, operation time, weight of the excised specimen, clearance margins, pathological diagnosis and perioperative complications were assessed. RESULTS: There were no differences between the two groups in terms of age, radiological abnormalities and localization technique (p = non-significant for all). ROLL techniques resulted in 100 percent retrieval of the lesions; for the wire-guided localization technique, 98 percent. Both localization time and operation time were significantly reduced with the ROLL technique (p = significant for all). The weight of the specimen was significantly lower in the ROLL group than in the wire-guided localization group (p = significant). The overall complication rate and pathological diagnosis were similar for both groups (p = non-significant for all). Clear margins were achieved in 91 percent of ROLL patients and in 53 percent of wire-guided localization patients, and the difference was significant. CONCLUSIONS: The present study indicated that the ROLL technique is as effective as wire-guided localization for the excision of non-palpable breast lesions. In addition, ROLL improved the outcomes by reducing localization and operation time, preventing healthy tissue excision and achieving clearer margins.