Ex vivo Biomechanical Comparison of V‐Loc 180® Absorbable Wound Closure Device and Standard Polyglyconate Suture for Diaphragmatic Herniorrhaphy in a Canine Model

Abstract

Clinical application of 2-0 barbed polyglyconate suture can be considered as an alternative to the use of 2-0 polyglyconate for diaphragmatic herniorrhaphy.

Influence of barbed suture on leak pressures after double‐layer inverting closure of cystotomy sites in sheep

“…In support of our hypothesis, we found that there was no difference in initial leakage pressures between barbed and nonbarbed bladder closures, confirming that the use of barbed suture in an open cystotomy model is as effective as its smooth counterpart. Our findings are consistent with the findings of other studies evaluating the use of barbed suture for diaphragmatic herniorrhapy, gastrotomy and enterotomy closure, skin closure, and canine and equine cystorrhaphy models, showing equivalence when compared to conventional smooth suture.…”

Comparison of initial leak pressures after single‐ and double‐layer cystotomy closure with barbed and nonbarbed monofilament suture material in an ex vivo ovine model

“…Previous studies have reported single‐layer or double‐layer closures and have not compared closure types among differing suture types in ovine specimens. Our findings are in line with barbed suture use in other open surgical applications including diaphragmatic herniorraphy, gastrotomy and enterotomy closures in dogs, and porcine cutaneous closure after sharp surgical incision . Conversely, previous studies have shown a significant difference in leakage pressure after cystorraphy when comparing barbed and an equivalent smooth monofilament suture .…”

Tensile Comparison of Polydioxanone, Polyglyconate, and Barbed Glycolide‐Trimethylene Carbonate Suture in Canine Cadaveric Tensor Fascia Lata

“…In comparison, the bidirectional suture Quill (Angiotech, Vancouver, British Columbia, Canada) is a single cut angle barb. Thus, the barbs in V‐loc 180 are relatively shorter and more rigid, and this geometry could result in a greater tissue holding capacity . We compared the V‐loc 180 to polydioxanone and polyglyconate as they are common sutures used for fascial closure…”

“…The absence of a knot is proposed to decrease tissue reaction due to a reduced knot volume and barbed suture has been suggested as an alternative to conventional suture for all soft tissue closures where absorbable suture material is appropriate . Biomechanical studies comparing barbed and monofilament sutures in the dermis, gastro‐intestinal tract, urinary bladder, diaphragm, abdominal wall, and tendon are reported.…”