Comparison of Holding Strength of Suture Anchors for Hepatic and Renal Parenchyma

Ames, Caroline D.; Perrone, Juan M.; Frisella, Alison J.; Morrissey, Kevin; Landman, Jaime

doi:10.1089/end.2005.19.1221

Cited by 14 publications

(6 citation statements)

References 9 publications

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“…In addition, there have been 2 similar studies evaluating specifically suture anchors for renal and hepatic parenchyma. In the first study, Ames et al 11 laid the grounds for lower ischemia time during laparoscopic partial nephrectomy using anchored sutures instead of the classic intracorporeal suturing. Furthermore, Tarin et al 12 concluded that using Hem-o-lok suture anchors results in a more secure and cost-effective closure.…”

Section: Discussionmentioning

confidence: 99%

Holding Strength of Suture: An Experimental Study Using Porcine Kidney

Özkuvancı

Akpınar

Karadağ

et al. 2017

JSLS

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Background and Objectives:The search for the perfect suture is going on and has resulted in the introduction of many different suture types into the market. The purpose of this study is to investigate the holding strength (HS) of different sutures in the renal parenchyma in an experimental study on pig kidneys.Methods:The HS that caused sliding of the suture was investigated in 5 adult porcine kidneys with 7 suture variants. HS-caused tearing of the kidney was investigated with 3 suture types on 5 kidneys. The third investigation, performed on 5 porcine kidneys, was a comparison between 2-0 Vicryl sutures with a Hem-o-lok clip and 2-0 V-Loc sutures with 1 knot. The Friedman test was used to compare the groups. Post hoc analysis was performed with the Wilcoxon signed ranks test (Bonferroni corrected).Results:For HS causing sliding of the suture, the mean HSs of the tested sutures were as follows: 2-0 Vicryl with 1 Hem-o-lok clip, 3.26 ± 0.55 N; 2-0 Vicryl with 2 Hem-o-lok clips, 4.1 ± 0.46 N; 2-0 V-Loc, 2.52 ± 0.63 N; 4-0 V-Loc, 1.62 ± 0.17 N; 0 Quill, 0.48 ± 0.16 N; 2-0 Vicryl with 1 Hem-o-lok clip (halfway), 3.62 ± 0.66 N; and 2-0 V-Loc (halfway), 1.02 ± 0.40 N. For HS causing tearing of the kidney, the mean value of 2-way 2-0 Vicryl (Hem-o-lok in the middle) was 13.28 ± 1.38 N, 2-0 2-way Vicryl (Hem-o-lok at the end) was 5.86 ± 0.75 N, and 2-way 2-0 V-Loc was 3.98 ± 1.60 N. For the third group, the difference between the 2 suture variants was not statistically significant.Conclusion:Our study revealed that 2-0 Vicryl (polyglactin 910) sutures with 2 Hem-o-lok clips had the maximum HS in renal parenchyma when compared with other sutures.

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Section: Discussionmentioning

confidence: 99%

Holding Strength of Suture: An Experimental Study Using Porcine Kidney

Özkuvancı

Akpınar

Karadağ

et al. 2017

JSLS

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“…1,2 Of the various methods used to ensure hemostasis, Hem-o-lok clip application is safe and reliable for vascular control during laparoscopic procedures. 3 During RALRP, Hem-o-lok clips are used posterolaterally for control of the vascular pedicles and posteriorly for ligation of the vas deferens. The mechanisms proposed for clip migration are as follows: the clips placed over the bladder wall for hemostasis possibly became incorporated into the vesicourethral anastomosis, or perhaps the clips fell into the urinary bladder during surgery.…”

Section: Discussionmentioning

confidence: 99%

Intravesical Migration of Hem-o-Lok Clips Presenting as Vesical Calculus After Robot-Assisted Laparoscopic Radical Prostatectomy

Swaroop

Nayak

Dogra

et al. 2014

CRSLS

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Vesical stone formation over migrated Hem-o-lok clips (Weck Surgical Instruments [Teleflex Medical], Durham, North Carolina) after robot-assisted laparoscopic radical prostatectomy is rare. We report our experience in 2 patients who presented with lower urinary tract symptoms after robot-assisted laparoscopic radical prostatectomy and were found to have vesical stones formed over migrated Hem-o-lok clips.

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“…Safety of the knotless suturing depends on the tensile strength required to dislodge sutures. In one study using fresh pig kidney and liver, five clips were assessed: the Lapra-Ty, Endoclip II, small Horizon Ligating Clips, Hem-o-lok Medium Polymer Clips, and a novel Sutureclip [44]. The Suture-clip, Lapra-Ty, and Horizon clips required significantly greater tension to dislodge than the Hem-o-lok and Endoclip clips; addition of a pledget did not improve tension resistance.…”

Section: Knotless Suturingmentioning

confidence: 99%

A Review of Methods for Hemostasis and Renorrhaphy After Laparoscopic and Robot-assisted Laparoscopic Partial Nephrectomy

Rajan

Leveillee

2010

Curr Urol Rep

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The techniques for management of small renal masses (SRMs) have evolved over the past several years. Radical nephrectomy can lead to an increased risk of chronic kidney disease, and the emphasis is now shifting to nephron-conserving techniques. Partial nephrectomy is now considered a standard of care for the management of SRMs, and laparoscopic techniques are becoming popular because they are minimally invasive. The kidneys are extremely vascular organs, and renal hemorrhage is a major cause of morbidity after laparoscopic partial nephrectomies. Control of bleeding and management of calyceal injuries can be difficult and make the procedure technically challenging. This review looks at the various modalities that are available to reduce bleeding and reviews some advances in the area of hemostatic maneuvers during laparoscopic partial nephrectomies.

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Comparison of Holding Strength of Suture Anchors for Hepatic and Renal Parenchyma

Cited by 14 publications

References 9 publications

Holding Strength of Suture: An Experimental Study Using Porcine Kidney

Holding Strength of Suture: An Experimental Study Using Porcine Kidney

Intravesical Migration of Hem-o-Lok Clips Presenting as Vesical Calculus After Robot-Assisted Laparoscopic Radical Prostatectomy

A Review of Methods for Hemostasis and Renorrhaphy After Laparoscopic and Robot-assisted Laparoscopic Partial Nephrectomy

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