Shorter overall operative time when barbed suture is used in primary laparoscopic gastric bypass: A cohort study of 25,006 cases

Vidarsson, Bjarni; Sundbom, Magnus; Edholm, David

doi:10.1016/j.soard.2017.04.017

Cited by 14 publications

(15 citation statements)

References 17 publications

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“…The literature search identified nine studies that were suitable for inclusion in the analysis (two randomised trials, 14,15 six cohort studies, [16][17][18][19][20][21] and one population based cohort study). 22 Figure 1 demonstrates the preferred reporting items for systematic reviews and meta-analyses flowchart for the literature search. In total there were 26,475 patients included in the analysis, with 3031 patients in the barbed suture group and 23,444 in the standard suture material group.…”

Section: Resultsmentioning

confidence: 99%

“…In total there were 26,475 patients included in the analysis, with 3031 patients in the barbed suture group and 23,444 in the standard suture material group. Seven studies investigated gastric bypass for obesity, [14][15][16][17][18][19]22 and two studies investigated colorectal anastomosis. 20,21 Quality assessment of studies was undertaken using the Jadad score for randomised studies and the Newcastle-Ottawa Scale for non-randomised studies.…”

Section: Resultsmentioning

confidence: 99%

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Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis

Wiggins

Markar

et al. 2020

annals

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Introduction Anastomosis formation constitutes a critical aspect of many gastrointestinal procedures. Barbed suture materials have been adopted by some surgeons to assist in this task. This systematic review and meta-analysis compares the safety and efficacy of barbed suture material for anastomosis formation compared with standard suture materials. Methods An electronic search of Embase, Medline, Web of Science and Cochrane databases was performed. Weighted mean differences were calculated for effect size of barbed suture material compared with standard material on continuous variables and pooled odds ratios were calculated for discrete variables. Findings There were nine studies included. Barbed suture material was associated with a significant reduction in overall operative time (WMD: -12.87 (95% CI = -20.16 to -5.58) (P = 0.0005)) and anastomosis time (WMD: -4.28 (95% CI = -6.80 to -1.75) (P = 0.0009)). There was no difference in rates of anastomotic leak (POR: 1.24 (95% CI = 0.89 to 1.71) (P = 0.19)), anastomotic bleeding (POR: 0.80 (95% CI = 0.29 to 2.16) (P = 0.41)), or anastomotic stricture (POR: 0.72 (95% CI = 0.21 to 2.41) (P = 0.59)). Conclusions Use of barbed sutures for gastrointestinal anastomosis appears to be associated with shorter overall operative times. There was no difference in rates of complications (including anastomotic leak, bleeding or stricture) compared with standard suture materials.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis

Wiggins

Markar

et al. 2020

annals

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“…Another possible advantage of using the barbed suture is a gain in time; however, we cannot judge this due to the lack of a control group. Vidarsson et al 2017 [7] and Pennestri et al 2018 [8] describe a significant time gain using barbed sutures in laparoscopic RYGB procedures, whereas Gys et al 2017 found significant time benefit only for the anastomosis itself, not for the total procedure time [6]. Compared to a historical laparoscopic RYGB cohort [12], the mean operative time with the surgical robot was about 10 min shorter.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have proven the safety and efficacy of this special suture material in laparoscopy [5–8]. Gys et al reported a comparable operative time with a shorter anastomosis time in a randomized controlled study [5, 6], while Vidarsson et al evaluated a cohort of 25,000 patients and found indications of a shortening of the total operating time, also with comparable safety [7]. Recently, Pennestri et al also described a significantly shorter median operative time in laparoscopic RYGB using the barbed suture in a retrospective analysis [8].…”

Section: Introductionmentioning

confidence: 99%

Use of barbed sutures in robotic bariatric bypass surgery: a single-center case series

Beckmann¹,

Kersebaum²,

Schönfels³

et al. 2019

BMC Surg

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Background Surgical robots are increasingly being used in bariatric surgery. While several studies describe the safety of using barbed sutures in laparoscopic gastric bypass surgery, no reports are available for robotic bariatric procedures. The aim of our article is to determine whether barbed sutures can be used safely in robotic Roux-en-Y bypass (RYGB) surgery. Methods This was a single-center, single-surgeon case series of RYGB procedures using the da Vinci® Xi Surgical System (Intuitive Surgery, Sunnyvale, CA, USA) in combination with the use of barbed sutures (Stratafix, Ethicon, Johnson & Johnson, Cincinnati, OH, USA). Results Fifty robotic proximal and distal RYGB surgeries were performed. A linear stapled, side-to-side gastrojejunostomy was carried out, whereby the enterotomy was completed with a running resorbable unidirectional barbed suture, Stratafix 2–0. In one case after robotic proximal RYGB, revision surgery was required due to omentum necrosis. Another patient was readmitted due to gastrointestinal bleeding from anastomosis. No anastomotic insufficiencies, no stenoses, or higher-grade complications according to Clavien-Dindo 4a-5 were found. Conclusions We found that the use of self-fixing barbed sutures in robotic RYGB is safe. The self-fixing suture enables the robotic surgeon to perform a simple continuous suture without the need for recurrent retraction. Although we are the first to report this procedure, we had a low number of cases and no control group; thus, further studies with a higher level of evidence are required. Electronic supplementary material The online version of this article (10.1186/s12893-019-0563-z) contains supplementary material, which is available to authorized users.

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“…Knotless suture materials have recently been applied in many surgical fields. Virdarsson et al [ 5 ] reported that during gastric bypass, knotless suture materials were used to close the opening in the gastrojejunostomy and shortened the operative time without increasing the risk of complications. Several reports have described the use of a knotless suture material during vesicourethral anastomosis during robot-assisted radical prostatectomy [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of a New Chest Drain Wound Closure Method with Knotless Sutures

Kim

Shin

Kim

et al. 2018

Korean J Thorac Cardiovasc Surg

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BackgroundA method of wound closure using knotless suture material in the chest tube site has been introduced at our center, and is now widely used as the primary method of closing chest tube wounds in video- assisted thoracic surgery (VATS) because it provides cosmetic benefits and causes less pain.MethodsWe included 109 patients who underwent VATS pulmonary resection at Samsung Medical Center from October 1 to October 31, 2016. Eighty-five patients underwent VATS pulmonary resection with chest drain wound closure utilizing knotless suture material, and 24 patients underwent VATS pulmonary resection with chest drain wound closure by the conventional method. Complications related to the chest drain wound were compared between the 2 groups.ResultsThere were 2 cases of pneumothorax after chest tube removal in both groups (8.3% in the conventional group, 2.3% in the knotless suture group; p=0.172) and there was 1 case of wound discharge due to wound dehiscence in the knotless suture group (0% in the conventional group, 1.2% in the knotless suture group; p=0.453). There was no reported case of chest tube dislodgement in either group. The complication rates were non-significantly different between the 2 groups.ConclusionThe results for the complication rates of this new chest drain wound closure method suggest that this method is not inferior to the conventional method. Chest drain wound closure using knotless suture material is feasible based on the short-term results of the complication rate.

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Shorter overall operative time when barbed suture is used in primary laparoscopic gastric bypass: A cohort study of 25,006 cases

Cited by 14 publications

References 17 publications

Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis

Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis

Use of barbed sutures in robotic bariatric bypass surgery: a single-center case series

Feasibility and Safety of a New Chest Drain Wound Closure Method with Knotless Sutures

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