The Unidirectional Barbed Suture for Renorrhaphy During Laparoscopic Partial Nephrectomy: Stanford Experience

Jeon, Seong Gyu; Jung, Saebin; Son, Hee Seo; Kimm, Simon; Chung, Benjamin I.

doi:10.1089/lap.2012.0405

Cited by 23 publications

(25 citation statements)

References 22 publications

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“…Barbed sutures have been used for to close cystotomies as well as iatrogenic damage to the bladder, vesicourethral anastomosis in robotic prostatectomy, renorrhaphy in partial nephrectomy, myomectomy closure, and closure of the vaginal cuff following hysterectomy. 1,[28][29][30] In sheep, barbed sutures were were satisfactory to re-approximate the uterus after C-section, but were associated with incisional dehiscence when used to close the abdominal fascia. 31 Contact between barbed sutures and other materials (eg, surgical gauze, drapes, etc) is contraindicated, raising concerns over the development of internal adhesions between the suture and surrounding surfaces.…”

Section: Discussionmentioning

confidence: 99%

Single layer cystotomy closure of excised porcine bladders with barbed versus smooth suture material

Montel¹,

Duffy²,

Weng³

et al. 2017

Veterinary Surgery

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Objective To determine which of 2 suture materials would be superior in terms of closure time and leakage pressure in open single‐layer cystotomy closure. Study design Experimental study. Animals Twenty‐four freshly harvested porcine urinary bladders. Methods A cystotomy was performed and the incision closed with a single layer simple continuous suture pattern with barbed (n = 12) or smooth (n = 12) suture. Time required for closure was measured. Each bladder was connected to a system for monitoring intraluminal pressure while inflated with saline until leakage occurred. Intraluminal pressure at time of initial leakage and leakage site were recorded. Two‐sample t tests were used to compare maximum leakage pressure and closure time between the 2 groups. P < .05 was considered significant. Results All bladders were sutured successfully with no difference in mean closure time (barbed suture 296 ± 46 seconds; smooth suture 293 ± 26 seconds) (P = .821). There was no difference in mean leakage pressure of porcine urinary bladder incisions closed in a single layer with barbed suture (28.8 ± 10.4 mm Hg) compared with smooth suture (30.6 ± 8.8 mm Hg) (P = .642). Conclusions Barbed suture provides comparable cystotomy repair to smooth suture, and no benefit to its use was identified in an open procedure. Barbed suture closure should be evaluated for adequate tensile strength in the presence of urine, satisfactory in vivo healing of cystotomies, and lack of long‐term urolith formation in dogs and cats.

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Section: Discussionmentioning

confidence: 99%

Single layer cystotomy closure of excised porcine bladders with barbed versus smooth suture material

Montel¹,

Duffy²,

Weng³

et al. 2017

Veterinary Surgery

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show abstract

“…To date, the efficacy of this new material has been evaluated in different surgical fields, a few general surgery studies are available [12][13][14][15][16][17][18], gynecologists have also demonstrated its utilities [19][20][21], oncologists have reported advantages in its properties [22] and urology is the field where its usefulness is already a standard and concentrates most of its reports [23][24][25][26][27].…”

mentioning

confidence: 99%

Knotless choledochorraphy with barbed suture, safe and feasible

et al. 2015

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“…Sütürün sonunda hazır bir düğüm vardır ve iplik üzerindeki ince dikenler sütürün kaymasınıönler. Laparoskopik parsiyel nefrektomide parankimal kanamanın kontrolün-de etkili olduğu, ameliyat süresini kısalttığı bir çok ça-lışmada gösterilmiştir [25,26]. Olweny ve arkadaşları yaptıkları çalışmada bu sütürün kullanımının sıcak iskemi üzerine etkisini araştırmış ve sıcak iskemi süre-sinin anlamlı olarak daha kısa olduğunu göstermişler-dir(26,4 dk, p=0.0013).…”

Section: Kitle Eksizyonuunclassified

Laparoscopic Nephron Sparing Nephrectomy

Malkoç¹

2015

Surgical Treatment of Metastatic Renal Cell Carcinoma

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Derman Tıbbi Yayıncılık 55 GİRİŞ Böbrek tümörleri, genitoüriner sistem kanserleri gü-rülme sıklığı ve genitoüriner sistem kanserlerine bağlı-mortalitede üçüncüsırada yeralmaktadır [1]. Geçmişte büyük, semptomatik ve sıklıkla invaziv veya metastatik böbrek kitleleri olarak karşımıza çıkan böbrek tümör-leri günümüzde radyolojik tanıyöntemlerinin kullanım sıklığında artış ile birlikte rastlantısal olarak saptanan asemptomatik, küçük boyutlu böbrek kitleleri olarak karşımıza çıkmaktadır. Bununla birlikte günümüz-de böbrek kanserlerinin tedavisi, özellikle küçük böb-rek kitlelerine (KBK) yaklaşım kriterleri değişim gös-termiştir. KBK'leri genellikle 4 cm'den küçük, yavaş biyolojik davranışlı, düşük evre ve derecedeki kitleler olarak tanım-lanmaktadır [2] ve bu kitleler nefron koruyucu cerrahiye uygun olan kitlelerdir. Güncel çalışmalar düşük böb-rek fonksiyonları ile artmış kardiovasküler risk ve mortalite arasında güçlü bir bağlantı olduğunu göstermek-tedir [3]. Onkolojik cerrahide böbrek fonksiyonlarının korunmasıönem arz etmektedir ve bu nedenle parsiyel nefrektomi endikasyonları gün geçtikçe gelişmek-tedir [4].

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The Unidirectional Barbed Suture for Renorrhaphy During Laparoscopic Partial Nephrectomy: Stanford Experience

Cited by 23 publications

References 22 publications

Single layer cystotomy closure of excised porcine bladders with barbed versus smooth suture material

Single layer cystotomy closure of excised porcine bladders with barbed versus smooth suture material

Knotless choledochorraphy with barbed suture, safe and feasible

Laparoscopic Nephron Sparing Nephrectomy

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