Barbed Suture for Renorrhaphy During Robot-Assisted Partial Nephrectomy

Sammon, Jesse D.; Kaul, Sanjeev; Bhandari, Akshay; Petros, Firas; Pokala, Naveen; Rogers, Craig

doi:10.1089/vid.2010.0073

Cited by 8 publications

(9 citation statements)

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“…Encouraged with the success of UVA with barbed suture during VIP, we established its safety and feasibility of a two-layered, running closure of the collecting system and renal capsule during renorrhaphy, and significantly lowering WIT compared to standard polyglactin suture (18.5 vs. 24.7 min, respectively, p Z 0.008) [57]. As regional hypothermia would expand the window for duration of permissible ischemia, we successfully experimented with the GelPoint access platform to introduce ice-slush.…”

Section: Robotic Upper Tract and Renal Surgerymentioning

confidence: 99%

WITHDRAWN: The growth of computer-assisted (robotic) surgery in urology 2000–2014: The role of Asian surgeons

Dalela¹,

Ahlawat²,

Sood³

et al. 2014

Asian Journal of Urology

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Objective: A major role in the establishment of computer-assisted robotic surgery (CARS) can be traced to the work of Mani Menon at Vattikuti Urology Institute (VUI), and of many surgeons of Asian origin. The success of robotic surgery in urology has spurred its acceptance in other surgical disciplines, improving patient comfort and disease outcomes and helping the industrial growth. The present paper gives an overview of the progress and development of robotic surgery, especially in the field of Urology; and to underscore some of the seminal work done by the VUI and Asian surgeons in the development of robotic surgery in urology in the US and around the world. Methods: PubMed/Medline and Scopus databases were searched for publications from 2000 through June 2014, using algorithms based on keywords "robotic surgery", "prostate", "kidney", "adrenal", "bladder", "reconstruction", and "kidney transplant". Inclusion criteria used were published full articles, book chapters, clinical trials, prospective and retrospective series, and systematic reviews/meta-analyses written in English language. Studies from Asian institutions or with the first/senior author of Asian origin were included for discussion, and focused on techniques of robotic surgery, relevant patient outcomes and associated demographic trends. Results: A total of 58 articles selected for final review highlight the important strides made by robots in urology, from robotic radical prostatectomy in 2000 to robotic kidney transplant in 2014. In the hands of an experienced robotic surgeon, it has been demonstrated to improve functional patient outcomes and minimize perioperative complications compared to open surgery, especially in urologic oncology and reconstructive urology. With increasing surgeon proficiency, the benefits of robotic surgery were consistently seen across different surgical disciplines, patient populations, and strata. (D. Dalela). Peer review under responsibility of Chinese Urological Association and SMMU. + MODEL Please cite this article in press as: Dalela D, et al., The growth of computer-assisted (robotic) surgery in urology 2000e2014: The role of Asian surgeons, Asian Journal of Urology (2015), http://dx.

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Section: Robotic Upper Tract and Renal Surgerymentioning

confidence: 99%

WITHDRAWN: The growth of computer-assisted (robotic) surgery in urology 2000–2014: The role of Asian surgeons

Dalela¹,

Ahlawat²,

Sood³

et al. 2014

Asian Journal of Urology

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“…Bununla ilgili daha önce yapılmış çalışmalar KDDM ile geleneksel onarım veya düğümsüz teknikle yapılan çalış-malardır. Önceki bu çalışmalarda sıcak iskemi süresinin kısal-dığı rapor edilmiştir (%10 (21), %32 (22)) [21,22,23] . Bizim ça-lışmamızda da KDDM ile böbrek parankim onarımı yapılan hastalardaki sonuçların önceki çalışmalara paralel olduğu saptanmıştır (grup I: 23.81dk.…”

Section: Discussionunclassified

The Impact of Self-Relating Barbed Suture Use for Laparoscopic Partial Nephrectomy on Perioperative Parameters and Postoperative Functional Outcomes

Aykan¹

2017

Haydarpasa Numune Med J

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Giriş ve Amaç:Böbrek tümörü nedeniyle yapılan nefron koruyucu cerrahi yöntemlerin, radikal nefrektomi olguları ile benzer onkolojik sonuçlara ve uzun dönemde daha iyi fonksiyonel sonuçlara sahip olduğu bilinmektedir. Deneyimli merkezlerde minimal invaziv cerrahi yöntemlerle yapılan nefron koruyucu operasyonlar (Laparoskopik Parsiyel Nefrektomi, LPN) radikal nefrektomiye karşı güvenli ve etkin bir alternatif olarak kabul görmüştür. Bu çalışma ile laparoskopik operasyonlarda kendinden dikenli dikiş materyalinin (KDDM) kullanılmasının perioperatif parametreler ve postoperatif fonksiyonel sonuçlar üzerindeki etkilerinin değerlendirilmesi amaçlanmıştır. Yöntem ve Gereçler: Bağcılar Eğitim ve Araştırma Hastanesi, Üroloji Kliniği'nde Kasım 2008 ile Aralık 2016 tarihleri arasında, renal kitle nedeni ile tek cerrah tarafından LPN yapılan 83 hastanın verileri retrospektif olarak incelenmiştir. Hastalar operasyonlarda kullanılan dikiş materyalinin türüne göre iki gruba ayrılmıştır. Birinci grupta; renorafi ve/veya toplayıcı sistem onarımının 3/0 emilebilen polyglactin dikiş materyali ile yapıldığı 38 hasta, ikinci grupta; renorafi ve/ veya toplayıcı sistem onarımının KDDM (V-Loc) ile yapıldığı 45 hasta bulunmaktadır. İki grup arasında; demografik özel-likler, radyolojik bulgular, tahmini kan kaybı miktarı ve sıcak iskemi süresi (SİS) gibi perioperatif değerler, onkolojik sonuçlar, komplikasyonlar ve postoperatif fonksiyonel değerler karşılaştırılmıştır. Bulgular: Yaş, vücut kitle indeksi (VKİ), ASA (American Society of Anesthesiologists) skoru, tümör boyut ve tarafları, PADUA skoru, operasyon süresi, komplikasyon oranı ve hastanede kalış süresi gibi temel özelliklerin gruplar arasında benzer olduğu görülmüştür. İkinci grupta birinci gruba göre tahmini kan kaybı miktarı daha az olarak saptanmıştır (grup I:202.1 cc; grup II:179.77 cc, p=0.001). İkinci grupta SİS daha kısa olarak saptanmıştır (grup I:23.81 dk.; grup II:16.42 dk. p=0.001). Operasyon sonrası takiplerde böbrek fonksiyonları ikinci grupta daha iyi olarak saptanmıştır (p=0.003). Tartışma ve Sonuç: Böbrek tümörü tedavisinde uygulanan LPN'de kullanılan KDDM'nin sıcak iskemi süresi, tahmini kan kaybı ve postoperatif fonksiyonel sonuçlarda olumlu kazanımlar sağladığı görülmüştür. Laparoskopik parsiyel nefrektomi operasyonlarında KDDM'nin kullanılması etkin ve güvenilir bir seçenek olarak değerlendirilmiştir. Anahtar sözcükler: Böbrek tümörü; kendinden dikenli dikiş; laparoskopik parsiyel nefrektomi; sıcak iskemi süresi. 142Aykan ve ark., Kendinden Dikenli Dikiş Materyali Kullanımı / doi: 10.14744/hnhj.2017.01643 R enal kitleler üriner sistemin sık görülen tümörlerin-dendir. Güncel teknolojik gelişmeler, erken evre böb-rek tümörlerinin (pT1a) tanı sıklığını oldukça artırmıştır [1] . Böbrek tümörü nedeniyle yapılan nefron koruyucu cerrahi yöntemlerin, radikal nefrektomi olguları ile benzer onkolojik sonuçlara ve uzun dönemde daha iyi fonksiyonel sonuçlara sahip olduğu bilinmektedir [2,3] . Bu nedenle böbrek fonksiyonlarını korumak için uygulanan Laparoskopik Parsiyel Ne...

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“…To date, the efficacy and safety of this novel suture in gynecologic (31)(32)(33)(34)(35), urologic (36)(37)(38) and orthopedic surgery (39) have been reported. With respect to digestive surgery though, only a few studies, including our 2011 report of the first use of barbed sutures in gastrointestinal anastomoses, have proven the safety and suitability of barbed sutures in terms of anastomotic leakages or stenosis, but there have been no prospective studies for bowel anastomosis following LG for malignant disease.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Lee

Kawai

Tashiro

et al. 2016

Jpn. J. Clin. Oncol.

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Objective: Intracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure. Methods: The subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied. Results: Between July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months.Conclusions: The use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy.

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Barbed Suture for Renorrhaphy During Robot-Assisted Partial Nephrectomy

Cited by 8 publications

References 0 publications

WITHDRAWN: The growth of computer-assisted (robotic) surgery in urology 2000–2014: The role of Asian surgeons

WITHDRAWN: The growth of computer-assisted (robotic) surgery in urology 2000–2014: The role of Asian surgeons

The Impact of Self-Relating Barbed Suture Use for Laparoscopic Partial Nephrectomy on Perioperative Parameters and Postoperative Functional Outcomes

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

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