A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair

Robert Shapiro,1,2 Alec Sunyecz,3 Stanley Zaslau,1,2 Manuel C Vallejo,1,4 Tyler Trump,2 Omar Dueñas-Garcia1 1Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 2Department of Urology, West Virginia University School of Medicine, Morganto...

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Autores principales:	Shapiro R, Sunyecz A, Zaslau S, Vallejo MC, Trump T, Dueñas-Garcia O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	barbed suture cystotomy minimally invasive surgery obesity Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/86e142c7390e45f39e9a125945297043
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spelling	oai:doaj.org-article:86e142c7390e45f39e9a1259452970432021-11-11T18:22:26ZA Comparative Study of Braided versus Barbed Suture for Cystotomy Repair2253-2447https://doaj.org/article/86e142c7390e45f39e9a1259452970432021-11-01T00:00:00Zhttps://www.dovepress.com/a-comparative-study-of-braided-versus-barbed-suture-for-cystotomy-repa-peer-reviewed-fulltext-article-RRUhttps://doaj.org/toc/2253-2447Robert Shapiro,1,2 Alec Sunyecz,3 Stanley Zaslau,1,2 Manuel C Vallejo,1,4 Tyler Trump,2 Omar Dueñas-Garcia1 1Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 2Department of Urology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 3West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 4Department of Anesthesiology, West Virginia University School of Medicine, Morgantown, WV, 26506, USACorrespondence: Robert ShapiroHealth Science Center North, West Virginia University, PO Box 9001A, Morgantown, WV, 26506, USATel +1 304-293-5631Fax +1 304-293-5160Email rshapiro@hsc.wvu.eduBackground: In this study, we aim to compare outcomes after cystotomy repair between standard sutures (910 polyglactin, poliglecaprone) versus barbed (V-LocTM 90) suture. As a secondary outcome, we analyzed factors for suture preference between the two groups.Methods: A retrospective chart review was undertaken for surgeries complicated by cystotomy, identified by ICD-9/10 codes from 2016 to 2019 at West Virginia University (WVU) Hospital. Comparisons were made between cystotomy repair using barbed suture versus standard braided suture. Injuries were categorized by procedure, surgical route, type of suture used in repair, and subsequent complications related to repair. Primary endpoints were examined by Pearson’s Chi-square test and interval data by t-test. A p < 0.05 was significant.Results: Sixty-eight patients were identified with iatrogenic cystotomy at WVU. Barbed suture was used for cystotomy repair in 11/68 (16.2%) patients. No significant difference was seen in postoperative outcomes between patients repaired with barbed suture versus standard braided suture. Barbed suture was significantly more likely to be used for cystotomy repair in minimally invasive surgery (p = 0.001). It was most often utilized in a robotic approach 7/11 (63.6%) followed by laparoscopic 3/11 (27.3%). Body mass index (BMI) was significantly higher in patients receiving a barbed suture repair (p = 0.005).Conclusion: Barbed suture may be comparable to standard braided suture for cystotomy repair. Barbed suture may offer a practical alternative to facilitate cystotomy repair in minimally invasive surgery, especially in patients with a high BMI.Keywords: barbed suture, cystotomy, minimally invasive surgery, obesityShapiro RSunyecz AZaslau SVallejo MCTrump TDueñas-Garcia ODove Medical Pressarticlebarbed suturecystotomyminimally invasive surgeryobesityDiseases of the genitourinary system. UrologyRC870-923ENResearch and Reports in Urology, Vol Volume 13, Pp 793-798 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	barbed suture cystotomy minimally invasive surgery obesity Diseases of the genitourinary system. Urology RC870-923
spellingShingle	barbed suture cystotomy minimally invasive surgery obesity Diseases of the genitourinary system. Urology RC870-923 Shapiro R Sunyecz A Zaslau S Vallejo MC Trump T Dueñas-Garcia O A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
description	Robert Shapiro,1,2 Alec Sunyecz,3 Stanley Zaslau,1,2 Manuel C Vallejo,1,4 Tyler Trump,2 Omar Dueñas-Garcia1 1Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 2Department of Urology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 3West Virginia University School of Medicine, Morgantown, WV, 26506, USA; 4Department of Anesthesiology, West Virginia University School of Medicine, Morgantown, WV, 26506, USACorrespondence: Robert ShapiroHealth Science Center North, West Virginia University, PO Box 9001A, Morgantown, WV, 26506, USATel +1 304-293-5631Fax +1 304-293-5160Email rshapiro@hsc.wvu.eduBackground: In this study, we aim to compare outcomes after cystotomy repair between standard sutures (910 polyglactin, poliglecaprone) versus barbed (V-LocTM 90) suture. As a secondary outcome, we analyzed factors for suture preference between the two groups.Methods: A retrospective chart review was undertaken for surgeries complicated by cystotomy, identified by ICD-9/10 codes from 2016 to 2019 at West Virginia University (WVU) Hospital. Comparisons were made between cystotomy repair using barbed suture versus standard braided suture. Injuries were categorized by procedure, surgical route, type of suture used in repair, and subsequent complications related to repair. Primary endpoints were examined by Pearson’s Chi-square test and interval data by t-test. A p < 0.05 was significant.Results: Sixty-eight patients were identified with iatrogenic cystotomy at WVU. Barbed suture was used for cystotomy repair in 11/68 (16.2%) patients. No significant difference was seen in postoperative outcomes between patients repaired with barbed suture versus standard braided suture. Barbed suture was significantly more likely to be used for cystotomy repair in minimally invasive surgery (p = 0.001). It was most often utilized in a robotic approach 7/11 (63.6%) followed by laparoscopic 3/11 (27.3%). Body mass index (BMI) was significantly higher in patients receiving a barbed suture repair (p = 0.005).Conclusion: Barbed suture may be comparable to standard braided suture for cystotomy repair. Barbed suture may offer a practical alternative to facilitate cystotomy repair in minimally invasive surgery, especially in patients with a high BMI.Keywords: barbed suture, cystotomy, minimally invasive surgery, obesity
format	article
author	Shapiro R Sunyecz A Zaslau S Vallejo MC Trump T Dueñas-Garcia O
author_facet	Shapiro R Sunyecz A Zaslau S Vallejo MC Trump T Dueñas-Garcia O
author_sort	Shapiro R
title	A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
title_short	A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
title_full	A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
title_fullStr	A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
title_full_unstemmed	A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
title_sort	comparative study of braided versus barbed suture for cystotomy repair
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/86e142c7390e45f39e9a125945297043
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A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair

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