BOSTAA - Tricks and Tips for the Difficult Meniscus Repair

Description

The presentation by Sanjeev Anand covers the complexities involved in meniscus repair in a surgical context. Throughout the talk, Anand discusses various patient and surgeon factors that can complicate the decision of whether to repair meniscus tears, particularly emphasizing the importance of time management during surgeries. He mentions that, especially for junior surgeons, it’s critical not to overload surgical schedules to allow ample time for each procedure.



The talk delves into the technical aspects of the surgery, including the importance of careful setup in the anesthetic room, which contributes to the overall ease and success of the procedure. Anand shares his techniques for creating a clear operating field without the use of a tourniquet and discusses the need for appropriate sizing of tools for different cases, such as pediatric patients.



One key point in the presentation is the significance of portal placement, which can greatly affect access during surgery. Anand stresses using large, generous skin portals that allow for better access and maneuvering. He explains how to adjust portal positions based on the tear's location in the meniscus to optimize the success rate of repairs.



Furthermore, the presentation illustrates specific surgical techniques for repairing various types of tears, including using traction sutures and ensuring adequate visibility during the operation. Anand provides tips on avoiding complications, such as cheesewiring during the repair process.



In summary, the talk encompasses a blend of personal insights and practical advice on meniscus repair, highlighting the skills and techniques that lead to improved surgical outcomes while maintaining patient safety and optimizing healing.

DOI: 10.1302/3114-240810

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