Tissue reactions to modern suturing material in colorectal surgery

Molokova, O. A.; Kecherukov, A. I.; Aliev, F. Sh.; Чернов, И. А.; Bychkov, V. G.; Kononov, V. P.

doi:10.1007/s10517-007-0236-2

Cited by 11 publications

(5 citation statements)

References 2 publications

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“…Weakest point in a suture line is the knot and with studies showing a reduction in tensile strength from 35% to 95% [ 16 17 ]. The volume of the knot is directly proportional to the surrounding tissue inflammation [ 18 ] Barbed sutures are also helpful in distributing the tension equally along the wound and also avoid the need for extra hands while suturing [ 19 20 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

et al. 2013

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BackgroundLatissimus dorsi (LD) myocutaneous flap is a popular method of breast reconstruction which can be associated with high incidence of seroma formation. Quilting sutures at the harvest site are used to reduce this. Barbed sutures are self anchoring sutures which avoid multiple knotting and can be useful in quilting.MethodsA retrospective analysis of prospectively maintained database of patients who underwent LD flap breast reconstruction between January 2009 and January 2011 was carried out. Seroma formation at the harvest site, wound related complications, inpatient stay and duration of surgery were analysed and a comparison was made between two groups where quilting was done with barbed (V-Loc) suture and conventional polydioxanone (PDS) II sutures.ResultsFifty-seven patients were included of which 33 had quilting by V-Loc sutures and in 24 patients PDS II suture was used. Median age in the PDS group was 55 years (interquartile range [IQR)], 45 to 61 years) which was comparable to the V-Loc group (53 years [IQR, 48 to 59 years]; P-value 0.948). Sixteen patients (28%) had significant seroma formation and 5 (9%) patients developed superficial wound dehiscence. Incidences of seroma or wound complications were comparable (P-value 0.378 and 1.00, respectively). Secondary outcomes such as total duration of surgery, total inpatient stay, total amount of drain at the donor site were also similar in two groups.ConclusionsUse of barbed sutures for quilting the donor site in LD flap reconstruction is a feasible option and the associated seroma formation and wound complications are comparable with conventional sutures.

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Section: Introductionmentioning

confidence: 99%

Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

et al. 2013

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“…This depends on the strand's thickness and resorption duration. For this reason, sutures possessing smaller diameters are generally preferred in surgical procedures since a lower volume of foreign material is then introduced into the patient's body 18–20…”

Section: Introductionmentioning

confidence: 99%

The Manufacture of Resorbable Suture Material from Magnesium – Drawing and Stranding of Thin Wires

et al. 2011

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With the aid of multiple wire drawing passes, the magnesium alloys ZEK100, MgCa0.8, and AL36 were reduced to monofilament wires possessing diameters between 0.5 and 0.1 mm. These filaments were subsequently twisted into poly‐filament suture material using stranding. In order to analyze the microstructural constituents and the mechanical‐tribological properties, metallographic specimens were prepared and tensile tests were performed on both monofilament as well as poly‐filament wire strands. Appropriate parameters were ascertained for the wire drawing process with regard to forming rate, temperature, and heat treatment. During the investigations, the alloy ZEK100 exhibited particularly interesting mechanical properties which, owing to its high tensile strengths (up to 550 MPa for monofilament) and fracture strains (up to 30% for poly‐filament), are comparable to those of conventional polymer‐based suture materials. In addition to this, integrating a core (internal, individual wire) into the poly‐filament mesh of wire strands represents an interesting alternative for future research in which structures composed of different materials, and the advantages of combining their properties are brought into particular focus.

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“…(7)(8)(9) In addition, the suture knot results in a high density of foreign body material that increases the surrounding inflammation. (10)(11) Minimizing wound inflammation by eliminating suture knots can improve wound healing.…”

Section: Resultsmentioning

confidence: 99%

The barbed sutures

Goldmann,

Oliveira,

Zatt

et al. 2024

Themes Focused on Interdisciplinarity and Sustainable Development Worldwide v. 02

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OBJECTIVE: This study aims to analyze the use of barbed sutures in minimally invasive procedures, considering safety, efficiency and reduction of surgical time. METHODS: The analysis included 43 articles selected from the PubMed electronic databases, using the descriptors "Barbed sutures", "Suture Suspension", and "Absorbable Knotless Barbed Suture". RESULTS: Among the selected articles, it was observed that the reduction in operative time provided by barbed sutures potentially cancels out the slight increase in cost and can also improve overall results due to shorter anesthesia time. The use of barbed sutures decreased the closure time in relation to standard sutures by 32.8%. The unidirectional barbed suture allows a higher concentration and more homogeneous distribution of soft tissues, avoids the subtle sliding of the edges of the sutured tissue, providing a safer and more stable environment for tissue healing, resulting in scars less prone to inflammation and, consequently, thinner and more imperceptible in an aesthetic analysis. The barbed suture is also seen as a useful tool in the plication of the rectus abdominis, being used in the fascia of the abdominal wall after the removal of the transverse rectus abdominis myocutaneous flap (TRAM) for breast reconstructions, for example, or associated with abdominoplasty. Although not a formal outcome of the study, the suture extrusion rate was 10% in the barbed suture group compared to 20% in the conventional suture group. In the study, the mean complication rate was 9.7% and the mean surgical time was 108 minutes for mammoplasty and 156 minutes for abdominoplasty. CONCLUSION: The present review demonstrated similar safety between the barbed suture technique and the conventional suture. Among the advantages of barbed sutures, it allows greater concentration and more homogeneous distribution of soft tissues, providing greater support with less tension on the thread, and better aesthetic results with less possibility of inflammation. Therefore, the data indicate an improvement in the complication rate, surgical time and safety for the patient in reduction mammoplasties and panniculectomies. It was concluded that barbed thread has greater applicability in plication of the rectus abdominis, superficial closure of the skin and accommodation of the deep layers in body contouring procedures. In the region of the arms, it is not applicable, as it can trigger problems in the healing of the surgical wound, due to a similar prolonged response of a foreign body by the sharper barbs and its slower absorption.

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Tissue reactions to modern suturing material in colorectal surgery

Cited by 11 publications

References 2 publications

Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

Feasibility of Use of a Barbed Suture (V-Loc 180) for Quilting the Donor Site in Latissimus Dorsi Myocutaneous Flap Breast Reconstruction

The Manufacture of Resorbable Suture Material from Magnesium – Drawing and Stranding of Thin Wires

The barbed sutures

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