Assessing the Impact of Barbed Suture on Vesicourethral Anastomosis During Minimally Invasive Radical Prostatectomy: A Systematic Review and Meta-analysis

Bai, Yunjin; Pu, Chun; Yuan, Haichao; Tang, Yin; Wang, Xiaoming; Li, Jinhong; Wang, Qiang; Han, Ping

doi:10.1016/j.urology.2015.02.033

Cited by 21 publications

(31 citation statements)

References 28 publications

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“…Moreover, while avoiding local ischemia, [25][26][27][28][29] the continuous suture using barbed sutures allows a comparable or even tighter wound closure overall 30,31 with seemingly comparable cosmetic results. 32 Several clinical trials have suggested a similar complication rate for wound closure with barbed sutures as that with monofilament suture material, for example, in total knee arthroplasty, 21,33 vesicourethral anastomosis, 34 and gynecologic surgery. 35 It is, however, difficult to compare results for an event with a low pretest probability, such as SSIs.…”

mentioning

confidence: 99%

Bacterial adhesion to suture material in a contaminated wound model: Comparison of monofilament, braided, and barbed sutures

Dhom

Bloes

Peschel

et al. 2016

Journal Orthopaedic Research

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Contaminated suture material plays an important role in the physiopathology of surgical site infections. Recently, suture material has been developed characterized by barbs projecting from a monofilament base. Claimed advantages for barbed sutures are a shortened wound closure time and reduced maximum wound tension. It has also been suggested that these sutures would be advantageous microbiologically. The aim of this study was to test the microbiological characteristics of the barbed Quill in comparison to the monofilament Ethilon II and the braided sutures Vicryl and triclosan-coated Vicryl Plus. In our study, sutures were cultivated on color-change agar with Staphylococcus aureus, Staphylococcus epidermidis, Enterococcus faecium, Escherichia coli, and Pseudomonas aeruginosa and the halo size was measured. In a second study arm with longer cultivation bacterial growth was followed by antibiotic treatment. Ethilon II and Quill showed good comparable results, whereas large halos were found around Vicryl. Vicryl Plus results depended on triclosan sensitivity. After longer bacterial cultivation and antibiotic treatment, halos were up to 3.6 times smaller on Quill than on Vicryl (p < 0.001), but 1.4 times larger than on Ethilon II (p < 0.001) regarding S. aureus. Confocal microscopy analysis showed bacterial colonization between the braided filaments on Vicryl and beneath the barbs on Quill. From a microbiological perspective, barbed sutures can be recommended in aseptic surgery, but should only be used carefully in septic surgery.

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mentioning

confidence: 99%

Bacterial adhesion to suture material in a contaminated wound model: Comparison of monofilament, braided, and barbed sutures

Dhom

Bloes

Peschel

et al. 2016

Journal Orthopaedic Research

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“…Previous authors with laparoscopic suturing have reported the use of barbed sutures for bladder and vaginal repair [8,9]. It provides for a secure bladder closure while obviating the need for tying knots.…”

Section: Discussionmentioning

confidence: 99%

The AINU Technique for Laparoscopic Vesico-Vaginal Fistula Repair: A Preliminary Report

et al. 2015

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Introduction: With safe obstetric practices now globally available, most vesico-vaginal fistulas (VVF) presenting in recent times are secondary to various gynecologic surgeries. Most of them are supra-trigonal in location. Laparoscopic repair of VVF is gaining ground as an alternative to open repair of VVF. In this study, we describe our initial experience with a novel technique of laparoscopic VVF repair involving a limited transverse cystotomy for access and a single-layered barbed suture closure of bladder. Materials and Methods: Twenty cases of supra-trigonal VVFs following gynecologic surgeries were taken up for repair by our novel technique. The mean age of the patients was 32 years and the mean VVF size was 1.5 cm. Results: The mean operative time was 54 min. Estimated mean blood loss was 30 ml and the mean postoperative stay was 2.5 days. None of the patients had any recurrence with a mean follow-up of 14 months. Conclusion: The limited transverse cystotomy approach has advantages in decreasing the operative time, improving ease of laparoscopic suturing, allowing an automatic separation of suture lines and allowing for an easier anterior dissection of the bladder to reduce tension on the suture line if necessary. Further this approach provides excellent results in select patients of supra-trigonal VVF in terms of continence and postoperative bladder overactivity.

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“…For all aspects of this study (an extension of our previously reported work), we were guided by an a priori protocol [9,10]. To be eligible for this study, the systematic review needed to be published in one of four major urology journals, namely, The Journal of Urology, European Urology, Urology, or BJU International.…”

Section: Methodsmentioning

confidence: 99%

“…and J.L.H.). We independently assessed the quality of reviews, using the same data abstraction forms and the same 11-point Assessment of Multiple Systematic Reviews (AMSTAR) criteria as our research team used in our previously reported work [9,10]. Using the AMSTAR instrument developed by Shea et al [11][12][13] higher scores reflect better methodological quality.…”

Section: Methodsmentioning

confidence: 99%

“…They must use rigorous methods, including a predefined protocol, a comprehensive search of published and unpublished studies, appropriate meta-analytical techniques, and a rating of the quality of evidence informing the interpretation of findings. Previous studies from our group suggested that those methods have been inconsistently applied in the past, resulting in a large proportion of low-quality reviews [9,10].…”

Section: Introductionmentioning

confidence: 99%

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The landscape of systematic reviews in urology (1998 to 2015): an assessment of methodological quality

et al. 2016

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Assessing the Impact of Barbed Suture on Vesicourethral Anastomosis During Minimally Invasive Radical Prostatectomy: A Systematic Review and Meta-analysis

Cited by 21 publications

References 28 publications

Bacterial adhesion to suture material in a contaminated wound model: Comparison of monofilament, braided, and barbed sutures

Bacterial adhesion to suture material in a contaminated wound model: Comparison of monofilament, braided, and barbed sutures

The AINU Technique for Laparoscopic Vesico-Vaginal Fistula Repair: A Preliminary Report

The landscape of systematic reviews in urology (1998 to 2015): an assessment of methodological quality

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