EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

A Novel Knotless Barbed Suture Technique for Traumatic Thoracolumbar Fracture in Posterior Surgery



A Novel Knotless Barbed Suture Technique for Traumatic Thoracolumbar Fracture in Posterior Surgery



World Neurosurgery: -



Surgical wound closure directly influence the spinal surgical efficiency and several postoperative complications. Traditional suture technique is time-consuming, and associated with higher rates of complications, bidirectional absorbable barbed suture seem to compensate for some of the limitations of traditional suture, however, rarely reported in using on spinal surgery, we design a novel suture technique and in using on thoracolumbar spinal surgery. The data of 189 patients with traumatic thoracolumbar fractures were analyzed between bidirectional barbed suture closure and traditional interrupted suture closure. Data of operative time, wound closure time, length of incision, intra-operative blood loss, complications of wound dehiscence and postoperative hematoma, cost and neurologic status were collected. No significant differences were observed about baseline demographics of included patients. Compared to traditional suturing group, the barbed sutures decreased the mean operative time (P=0.037), suture time (P<0.01), mean suturing time (P<0.01) significantly, still no statistically significant differences were found in blood loss (P=0.724), neurologic functional scores (preoperative: P=0.901; 3 months after surgery: P=0.208; final follow-up assessments: P=0.163), and no statistically significant differences in rates of postoperative infection, hematoma and wound dehiscence. Our study suggested that the novel knotless barbed suture had comparable strength to the traditional suture, with advantage of less suturing time. It is an efficient, safe technique and alternative choice for thoracolumbar fracture patients after posterior surgery.

(PDF emailed within 0-6 h: $19.90)

Accession: 048021993

Download citation: RISBibTeXText

PMID: 29597020

DOI: 10.1016/j.wneu.2018.03.138



Related references

Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique. Journal of International Medical Research: 300060518760737-300060518760737, 2018

A Knotless Flexor Tendon Repair Technique Using a Bidirectional Barbed Suture. Plastic & Reconstructive Surgery 126: 46-47, 2010

A knotless flexor tendon repair technique using a bidirectional barbed suture: an ex vivo comparison of three methods. Plastic and Reconstructive Surgery 128(4): 322e-327e, 2011

The Role of Knotless Barbed Suture in Gynecologic Surgery: Systematic Review and Meta-Analysis. Surgical Innovation 22(5): 528-539, 2016

Single barbed bidirectional suture for posterior muscle-fascial reconstruction and knotless urethro-vescical anastomosis during Robot-assisted radical prostatectomy. Minerva Urologica E Nefrologica, 2018

Laparoscopic technique and initial experience with knotless, unidirectional barbed suture closure for staple-conserving, delta-shaped gastroduodenostomy after distal gastrectomy. Journal of the American College of Surgeons 213(6): E39-E45, 2012

Comparison of Knotless Barbed Suture Versus Monofilament Suture in the Oral Cavity of Cats. Journal of Veterinary Dentistry 34(3): 148-154, 2017

A randomized clinical trial of knotless barbed suture vs conventional suture for closure of the uterine incision at cesarean delivery. American Journal of Obstetrics and Gynecology 218(3): 343.E1-343.E7, 2018

A Mechanical Evaluation of Zone II Flexor Tendon Repair Using a Knotless Barbed Suture Versus a Traditional Braided Suture. Journal of Hand Surgery 40(7): 1355-1362, 2016

Arthroscopic Posterior Glenoid Fracture Fixation Using Knotless Suture Anchors. Arthroscopy Techniques 6(5): E1933-E1936, 2018

In vivo assessment of an absorbable and nonabsorbable knotless barbed suture for laparoscopic single-layer enterotomy closure: a clinical and biomechanical comparison against nonbarbed suture. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 21(10): 893-897, 2012

Arthroscopic Posterior Stabilization of the Shoulder Using a Percutaneous Knotless Mattress Suture Technique. Arthroscopy Techniques 3(1): E161-E164, 2014

Knotless choledochorraphy with barbed suture, safe and feasible. Surgical Endoscopy 30(8): 3630-3635, 2017

Laparoscopic Technique and Initial Experiences of Choledocholithotomy Closure With Knotless Unidirectional Barbed Sutures After Surgery for Biliary Stone Disease. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 25(4): E129-E133, 2016

Minimally invasive myomectomy using unidirectional knotless barbed suture. Journal of Minimally Invasive Gynecology 21(1): 27-27, 2014