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Evaluation of two novel self‐anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots
Author(s) -
Spah Chad E.,
Elkins A. D.,
Wehrenberg Aaron,
Jaffe Michael H.,
Baird Debra K.,
Naughton James F.,
Payton Mark E.
Publication year - 2013
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2013.12043.x
Subject(s) - gastropexy , barbed suture , medicine , surgery , fibrous joint , polydioxanone , laparoscopy , stomach , gastroenterology
Objective To compare laparoscopic gastropexy using 2 self‐anchoring barbed sutures to gastropexy using laparoscopically tied intracorporeal knots. Study Design Prospective, randomized controlled, clinical trial. Animals Dogs (n = 30) weighing >16 kg. Methods Dogs were randomly assigned to 1 of 3 laparoscopic gastropexy groups: group 1 (controls), intracorporeal 2‐0 polydioxanone sutures (PDSII, Ethicon); group 2, barbed suture (0 Quill™ PDO; Angiotech); and group 3, barbed suture (2‐0 V‐Loc™ 180; Covidien). Gastropexy suturing time (GST) and total surgery time (TST) were recorded for each dog. Complications were recorded. Each dog was examined by ultrasound (1, 3, and 6 months postoperatively) to ensure persistence of the gastropexy. One dog each in group 2 and group 3 had 2nd look laparoscopy to evaluate the gastropexy. Results All gastropexies were intact at 6 months. Mean GST was significantly longer for group 1 (36 minutes; range, 25–46 minutes) than for groups 2 (20 minutes; range, 16–37 minutes) and 3 (19 minutes; range, 15–30 minutes; P < .05), which were not significantly different from each other. Likewise TSTs for groups 2 and 3 were significantly shorter than for group 1 ( P < .05). Conclusion Barbed sutures (Quill™ and V‐Loc™) allowed for effective intracorporeal laparoscopic suturing of an incisional gastropexy without tying intracorporeal knots.