Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs View Full Text


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Article Info

DATE

2019-12

AUTHORS

Gessica Giusto, Selina Iussich, Massimiliano Tursi, Giovanni Perona, Marco Gandini

ABSTRACT

BACKGROUND: Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on enterotomy, little has been published so far on the use of barbed suture for end-to-end intestinal anastomoses. The aim of the study was to compare two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs. End-to-end jejuno-jejunal anastomosis were performed with unidirectional barbed (A group), bidirectional barbed (B group) or normal (C group) sutures in each animal. A comparison was then made between the groups based on adhesions scoring, suturing time, bursting pressure and histopathology. RESULTS: Mean construction times in the A group (518 ± 40 s) and in the B group (487 ± 45 s) were significantly lower than in the C group (587 ± 63 s) but were not different between A and B group (P = 0.10). Mean bursting pressures were significantly higher in the intact intestine (197 ± 13 mmHg) than in any other group (group A 150 ± 16 mmHg, group B 145 ± 22 mmHg, group C 145 ± 24 mmHg). Among anastomotic techniques, the bursting pressures were not significantly different. Histologically no difference could be detected in the grade of inflammation, collagen deposition and neovascularization at the anastomotic sites. CONCLUSIONS: Barbed sutures can be effectively used for handsewn end-to-end jejunojejunal anastomosis in pigs. They are comparable to normal suture but could provide a shorter surgical time. More... »

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References to SciGraph publications

  • 2012-06. How to close a colpotomy? Barbed suture and conventional suture effects on soft tissue: an ex vivo pilot study in ARCHIVES OF GYNECOLOGY AND OBSTETRICS
  • 2013-10. Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: a study comparing unidirectional barbed monofilament and multifilament absorbable suture in SURGICAL ENDOSCOPY
  • 2015-11. Clinical experience of sleeve lobectomy with bronchoplasty using a continuous absorbable barbed suture in GENERAL THORACIC AND CARDIOVASCULAR SURGERY
  • 2014-12. New suture materials for midline laparotomy closure: an experimental study in BMC SURGERY
  • 2011-06. Small bowel volvulus following peritoneal closure using absorbable knotless device during laparoscopic sacral colpopexy in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2015-08. Barbed versus standard sutures in total knee arthroplasty: a meta-analysis in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2013-10. Laparoscopic gastrointestinal anastomoses using knotless barbed sutures are safe and reproducible: a single-center experience with 201 patients in SURGICAL ENDOSCOPY
  • 2009-04. A comparison of gastrojejunal anastomoses with or without buttressing in a porcine model in SURGICAL ENDOSCOPY
  • 2016-09. The Efficacy and Safety of Knotless Barbed Sutures in the Surgical Field: A Systematic Review and Meta-analysis of Randomized Controlled Trials in SCIENTIFIC REPORTS
  • 2014-12. Flexor tendon repair with barbed suture: an experimental study in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2013-10. The application of the V-Loc closure device for gastrointestinal sutures: a preliminary study in SURGICAL ENDOSCOPY
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    https://www.ncbi.nlm.nih.gov/pubmed/30611301


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    42 schema:description BACKGROUND: Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on enterotomy, little has been published so far on the use of barbed suture for end-to-end intestinal anastomoses. The aim of the study was to compare two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs. End-to-end jejuno-jejunal anastomosis were performed with unidirectional barbed (A group), bidirectional barbed (B group) or normal (C group) sutures in each animal. A comparison was then made between the groups based on adhesions scoring, suturing time, bursting pressure and histopathology. RESULTS: Mean construction times in the A group (518 ± 40 s) and in the B group (487 ± 45 s) were significantly lower than in the C group (587 ± 63 s) but were not different between A and B group (P = 0.10). Mean bursting pressures were significantly higher in the intact intestine (197 ± 13 mmHg) than in any other group (group A 150 ± 16 mmHg, group B 145 ± 22 mmHg, group C 145 ± 24 mmHg). Among anastomotic techniques, the bursting pressures were not significantly different. Histologically no difference could be detected in the grade of inflammation, collagen deposition and neovascularization at the anastomotic sites. CONCLUSIONS: Barbed sutures can be effectively used for handsewn end-to-end jejunojejunal anastomosis in pigs. They are comparable to normal suture but could provide a shorter surgical time.
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