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  1. Article ; Online: Palatal pre-suturing for perioperative hemostasis at free gingival graft donor sites: A randomized, controlled clinical trial.

    Kulkarni, Mihir Raghavendra / Shettar, Leena Gangadhar / Bakshi, Purva Vijay / Nikhil, Kriti

    Journal of periodontology

    2021  Volume 92, Issue 10, Page(s) 1441–1447

    Abstract: Background: The palatal suture has been well known in literature as a method for palatal hemostasis but has not been validated for its efficacy. The aim of this parallel-arm randomized controlled clinical trial was to evaluate the efficacy of palatal ... ...

    Abstract Background: The palatal suture has been well known in literature as a method for palatal hemostasis but has not been validated for its efficacy. The aim of this parallel-arm randomized controlled clinical trial was to evaluate the efficacy of palatal pre-suturing using the greater palatine compression suture (GPCS) in reducing the perioperative hemorrhage associated with the palatal free gingival graft (FGG) procedure.
    Methods: Twenty-four patients requiring the FGG procedure for recession coverage or augmentation of keratinized tissue were recruited in the study and randomized to the GPCS group and the control group. The GPCS was placed using a previously described protocol by a single operator in all the participants in the GPCS group. Perioperative blood loss was estimated by weighing the gauze used to mop the palatal hemorrhage, before and after the procedure. The time required for the surgery was also recorded by an independent observer.
    Results: Significantly lesser blood loss was observed in the GPCS group (4.33 ± 0.89 g) as compared with the control group (8.91 ± 4.16 g). The difference in the time taken for the surgical procedure for the GPCS group (73.25 ± 22.35 minutes) was not significantly different from that required for the control group (76.08 ± 14.47 minutes).
    Conclusion: This study demonstrates that pre-suturing of the palate using the GPCS is an effective technique to reduce the perioperative blood loss associated with the palatal FGG procedure.
    MeSH term(s) Gingiva/surgery ; Gingival Recession/surgery ; Hemostasis ; Humans ; Oral Surgical Procedures ; Palate/surgery ; Sutures
    Language English
    Publishing date 2021-03-06
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 390921-9
    ISSN 1943-3670 ; 0022-3492 ; 1049-8885 ; 0095-960X
    ISSN (online) 1943-3670
    ISSN 0022-3492 ; 1049-8885 ; 0095-960X
    DOI 10.1002/JPER.20-0754
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A novel clinical protocol for the greater palatine compression suture: A case report.

    Kulkarni, Mihir Raghavendra / Shettar, Leena Gangadhar / Bakshi, Purva Vijay / Thakur, Srinath Lakshman

    Journal of Indian Society of Periodontology

    2018  Volume 22, Issue 5, Page(s) 456–458

    Abstract: Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in ... ...

    Abstract Bleeding from the palatal donor site is a worrisome complication of palatal soft tissue harvesting procedures and leads to considerable stress to both the patient and the surgeon. Several methods to control palatal hemorrhage have been suggested in literature, including a palatal suture, but a precise protocol has not been suggested. The present case report aims to suggest a protocol for the greater palatine compression suture (GPCS). Five patients who experienced profuse bleeding from the palatal free gingival graft donor site were treated with the GPCS. The palatal midline was used as a landmark and the location of the greater palatine foramen was estimated. The suture was placed anterior to the estimated location of the foramen and was passed deep into the palatal tissue with the aim of looping and compressing the vascular bundle. In all the patients, an immediate reduction and arrest of bleeding from the palatal wound was observed with blanching of the soft tissues around the suture. The proposed technique is a predictable method to control palatal hemorrhage and can be used if other less invasive techniques fail to stem the blood flow from an injured palatal vessel.
    Language English
    Publishing date 2018-09-06
    Publishing country India
    Document type Case Reports
    ZDB-ID 2545458-4
    ISSN 0975-1580 ; 0972-124X
    ISSN (online) 0975-1580
    ISSN 0972-124X
    DOI 10.4103/jisp.jisp_140_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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