Abdominoplasty With Progressive Tension Closure Using A Barbed Suture Technique

Abstract

Using barbed sutures to perform progressive tension suture closure in abdominoplasty is a safe and effective way to considerably reduce operative time and retain all of the benefits of the original progressive tension suture technique.

Perioperative Closure-related Complication Rates and Cost Analysis of Barbed Suture for Closure in TKA

“…We found the use of barbed suture was associated with shorter estimated closure times when compared with the interrupted suture technique in primary TKA but we question the clinical importance of a 2.3-minute mean difference. Warner and Gutkowski evaluated the use of a running barbed suture technique in abdominoplasty surgery to plicate the flap to the underlying abdominal fascia through a progressive tension closure [8]. They found this technique was associated with reduced closure times compared with previously published data.…”

“…The decreased amount of cellulitis seen may have been the result of the decreased suture bulk with the knotless barbed suture potentially decreasing the local inflammatory response. Warner and Gutkowski in their evaluation of the barbed suture technique in abdominoplasty found this technique was not associated with any increase in complications compared with previously published techniques [8]. Murtha et al in their randomized controlled trial evaluating the use of barbed suture in dermal closure of Pfannenstiel incisions found no difference in patient-derived cosmesis scores, adverse events, or pain scores between the groups [3].…”

“…For finger flexor tendon repairs, knotless barbed sutures provide comparable strength to standard knotted sutures [4,6]. The plastic surgery literature has reported improved closure efficiency and equivalent wound complication rates for dermal closure [3] and separately plication of abdominoplasty flaps to the underlying abdominal wall [8]. Whether these advantages apply to multilayered closure in total joint arthroplasty is unclear.…”

“…A running knotless suture technique using barbed suture technology has been described to facilitate closure and repair of soft tissues in the plastic surgery literature [3,8]. For finger flexor tendon repairs, knotless barbed sutures provide comparable strength to standard knotted sutures [4,6].…”

Use of Barbed Sutures for Fixation of Spreader Grafts in Rhinoplasty: A Novel Technique

“…Several investigators have reported use of the material in progressive tension sutures for drain less abdominoplasty [4,5] for periareolar breast wound closure [6] and rectus fascia repair [7]. In a report on new and emerging uses of barbed suture I referenced the potential use of barbed suture in rhinoplasty and describe the technique here in greater detail [8].…”