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Lorenzo J. Cervantes, MD
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Lorenzo J. Cervantes, MD, shares his technique for using a Malyugin Ring (MicroSurgical Technology). This is a modification of a technique described by Deepinder Dhaliwal, MD. Although the ring's insertion is straightforward, the viscoelastic cannula can be used as a second hand when the surgeon often wants one: at the disengagement of the ring from the injector. Releasing only the distal and proximal loops of the ring can make for the device's efficient removal. Engaging a stable ring can be accomplished by “capturing” the proximal loop in the incision.
Posted: 6/20/2014
Lorenzo J. Cervantes, MD
Lorenzo J. Cervantes, MD, shares his technique for using a Malyugin Ring (MicroSurgical Technology). This is a modification of a technique described by Deepinder Dhaliwal, MD. Although the ring's insertion is straightforward, the viscoelastic cannula can be used as a second hand when the surgeon often wants one: at the disengagement of the ring from the injector. Releasing only the distal and proximal loops of the ring can make for the device's efficient removal. Engaging a stable ring can be accomplished by “capturing” the proximal loop in the incision.
Posted: 6/20/2014
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Lorenzo Cervantes
10 years ago
The injector in the video was the standard ring injector provided by MST. We now use the Osher injector, which has a longer "finger" that allows for easier one-handed release of the ring. One can still use the two-handed and wound-capture technique described in the video with it.
david marshava
10 years ago
Hello. can you tell me, which injector do you use for implantation of Malyugin Ring? thank you in advance.
ari weitzner
11 years ago
why go back in with the injector when removing it?
Lorenzo Cervantes
11 years ago
If you try to pull it out without the injector, the right loop will catch the internal/posterior shelf of the main incision. By going back in with the injector, the right loop slides out smoothly. Look at 4:15 in the video - The right loop has, in fact, engaged the main incision's posterior lip (the same way it engages iris). Attempting to pull it out then would be traumatic.
ari weitzner
11 years ago
understood-thanks