Evaluation of a Barbed Suture Device versus Conventional Suture in a Canine Enterotomy Model

Abstract

Enterotomy closure was faster using the barbed device as compared to conventional suture, with no significant difference in burst strength or adhesion scores at any time point.

Ex vivo Biomechanical Comparison of V‐Loc 180® Absorbable Wound Closure Device and Standard Polyglyconate Suture for Diaphragmatic Herniorrhaphy in a Canine Model

“…These sutures have similar tensile strength to standard monofilament suture material when applied to the porcine skin after surgical incision, and are considered a viable alternative for skin closure . Barbed suture material has also been used experimentally for closure of jejunal and colonic enterotomy, gastrotomy, incisional gastropexy, tracheal resection and anastomosis, and abdominal wall closure, with similar success to conventional suture material . When applied to the diaphragm musculature, especially in a compromised patient, barbed suture material could offer an advantage to traditional intracorporeal sutures by eliminating difficult knot tying, enhancing suture line security and, thus, efficiency of the procedure.…”

Laparoscopic Cholecystoduodenostomy in Dogs: Canine Cadaver Feasibility Study

“…Based on our findings, the complications encountered must be addressed before the laparoscopic cholecystoduodenostomy procedure can be performed clinically. Existing literature support that self‐locking sutures provide advantages in the performance of intracorporeal anastomosis, mostly by providing the means for faster and easier intracorporeal suture performance . However, the outcome of our study (75% of cases with anastomotic leaks) suggests that cholecystoduodenostomy in the dog using this suture entails a learning curve in order to effectively avoid anastomotic leakage.…”

“…This device was first used in plastic surgery, but it has spread widely among other surgical fields . Its application in veterinary medicine has resulted in only a few reports, but its use has already been associated with reduced operative times . Several strategies have been described to avoid the reduction of tension during continuous anastomoses and decrease the number of intracorporeal knots, including the use of specific clips, such as LapraTy ® (Ethicon, Somerville, NJ) or Hem‐O‐Lok ® (Weck Closure Systems, Research Triangle Park, NC).…”

Intestinal surgery in small animals: historical foundations, current thinking, and future horizons

“…Barbed sutures are used almost exclusively for most intracorporeal laparoscopic gastropexy applications . Continuous barbed closures were performed more rapidly and had equal burst pressures compared with similarly sized Glycomer™ 631 sutures in canine jejunum in two in vivo studies in which gastrointestinal (GI) incisions were evaluated …”