scholarly journals A Comparison of Barbed Sutures and Standard Sutures with regard to Wound Cosmesis in Panniculectomy and Reduction Mammoplasty Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Kristen Aliano ◽  
Michael Trostler ◽  
Indira Michelle Fromm ◽  
Alexander Dagum ◽  
Sami Khan ◽  
...  
Keyword(s):  
Wound Closure ◽  
Controlled Trial ◽  
Potential Method ◽  
Reduction Mammoplasty ◽  
Contralateral Side ◽  
Barbed Suture ◽  
Self Assessment ◽  
Barbed Sutures ◽  
Randomized Controlled ◽  
Larger Sample

Cosmesis is a vital concern for patients undergoing plastic and reconstructive surgery. Many variations in wound closure are employed when attempting to minimize a surgical scar’s appearance. Barbed sutures are one potential method of achieving improved wound cosmesis and are more common in recent years. To determine if barbed sutures differ from nonbarbed in wound cosmesis, we conducted a single-blinded, randomized, controlled trial of 18 patients undergoing bilateral reduction mammoplasty or panniculectomy. Patients were their own controls, receiving barbed sutures on one side and standard sutures on the contralateral side. Surgical scars were evaluated postoperatively by patient preference self-assessment and an observer. Ten patients were evaluated at 3 months postoperatively, yielding a mean Stony Brook Scar Evaluation Scale (SBSES) rating of 4.4 for barbed suture and 3.5 for regular suture (p=0.15). At 6 months, 8 patients performed self-assessment to determine their preference; 4 preferred the barbed sutures, 1 preferred the regular sutures, and 3 had no preference. Further research with larger sample sizes is needed to determine if barbed sutures convey any advantage over standard sutures in wound healing. However, our results suggest that barbed sutures are a reasonable alternative to standard sutures particularly with regard to wound cosmesis.

scholarly journals A symmetric anchor designed barbed suture versus conventional interrupted sutures in total knee arthroplasty: A multicenter, randomized controlled trial

2020 ◽  
Vol 28 (3) ◽  
pp. 230949902096568
Author(s):  
Wei Wang ◽  
Shigui Yan ◽  
Feng Liu ◽  
Wei Chai ◽  
Jianlin Zuo ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Randomized Controlled Trial ◽  
Knee Arthroplasty ◽  
Wound Closure ◽  
Controlled Trial ◽  
Barbed Suture ◽  
Surgical Incision ◽  
Randomized Controlled ◽  
Closure Time ◽  
Total Knee

Objective: This randomized controlled study was designed to compare the wound closure efficacy and safety of barbed suture in comparison to the conventional interrupted suture for total knee arthroplasty (TKA). Methods: This multicenter, single-blind, randomized controlled trial enrolled 184 patients who underwent elective TKA between June 2017 and April 2018. The subjects were randomized between two groups. Surgical incision closure time was considered as the primary end point. Results: A total of 184 patients participated in this randomized controlled trial; 91 patients had wound closure that involved barbed suture and 93 patients underwent conventional treatment—that is interrupted suturing with nonbarbed sutures. The surgical incision closure time was shorter ( p < 0.0001) in the barbed suture group compared with the control group (15.5 ± 4.88 vs. 20.9 ± 6.30 min). However, both groups were found to be equal in terms of the rate of postoperative complications. Conclusion: Usage of the symmetric anchor designed barbed suture is safe, efficacious, and demonstrates a decrease in surgical incision closure time in patients undergoing TKA compared to interrupted closure using conventional sutures. Future studies are warranted to demonstrate clinical and economic benefits of barbed sutures.

Barbed Sutures in Total Knee Arthroplasty: A Meta-analysis of Randomized-Controlled Trials

2020 ◽  
Author(s):  
Changjiao Sun ◽  
Lianxu Chen ◽  
Ruiyong Du ◽  
Sha Wu ◽  
Qi Ma ◽  
...  
Keyword(s):  
Randomized Controlled Trials ◽  
Wound Closure ◽  
Meta Analysis ◽  
Barbed Suture ◽  
Controlled Trials ◽  
Barbed Sutures ◽  
Wound Closure Techniques ◽  
Randomized Controlled ◽  
Closure Time ◽  
Total Knee

AbstractNewer methods of wound closure such as barbed sutures hold the potential to reduce closure time and equivalent wound complications in various surgeries. However, few studies have compared barbed suture and conventional wound closure techniques in total knee arthroplasty (TKA). The purpose of this review was to appraise the efficacy and safety of the barbed suture in closure of TKA. We conducted a meta-analysis to identify relevant randomized-controlled trials involving barbed sutures and conventional sutures in TKA in electronic databases, including Web of Science, Embase, PubMed, Cochrane Controlled Trials Register, Cochrane Library, Highwire, CBM, CNKI, VIP, Wanfang database, up to August 2019. Finally, we identified 1,472 TKAs (1,270 patients) assessed in 13 randomized-controlled trials. Compared with conventional wound closure techniques, barbed sutures resulted in shorter total wound closure time (p < 0.001), fewer needle puncture injuries to members of the surgical team (p = 0.02). There were no significant differences in terms of blister formation (p = 1.0), superficial infection (p = 0.82), range of motion (p = 0.94), incisional exudate (p = 0.75), suture abscess (p = 0.26), or suture breakage (p = 0.11), wound-related complications (p = 0.10), ecchymosis (p = 0.08) between barbed and conventional wound closure. Based on the available level I evidence, we thus conclude that a knotless barbed suture is a safe and effective approach for wound closure in TKA. Given the relevant possible biases in our meta-analysis, more adequately powered and better-designed randomized-controlled trials studies with long-term follow-up are required to recommend barbed sutures for routine administration in TKA.

Barbed and conventional sutures in spinal surgery patients: an economic and clinical outcomes comparison

2020 ◽  
Vol 29 (Sup5a) ◽  
pp. S9-S20
Author(s):  
Stephen S Johnston ◽  
Brian Po-Han Chen ◽  
Giovanni A Tommaselli ◽  
Simran Jain ◽  
John B Pracyk
Keyword(s):  
Operating Room ◽  
Clinical Outcomes ◽  
Spinal Surgery ◽  
Wound Closure ◽  
Index Admission ◽  
Barbed Suture ◽  
Wound Complications ◽  
Barbed Sutures ◽  
Significant Difference ◽  
Suture Group

Objective: To compare economic and clinical outcomes of barbed sutures versus conventional sutures alone in wound closure for patients undergoing spinal surgery. Method: A retrospective study using the Premier Healthcare Database. The database was searched for patients who underwent elective inpatient spinal surgery (fusion or laminectomy) for a spinal disorder between 1 January 2014 and 30 June 2018 (first=index admission). Using billing records for medical supplies used during the index admission, patients were classified into mutually-exclusive groups: patients with any use of STRATAFIX (Ethicon, US) knotless tissue control devices (barbed sutures group); or patients with use of conventional sutures alone (conventional sutures group). Outcomes included the index admission's length of stay, total and subcategories of hospital costs, non-home discharge, operating room time (ORT, minutes), wound complications and readmissions within ≤90 days. Propensity score matching and generalised estimating equations were used to compare outcomes between the study groups. Results: After matching, 3705 patients were allocated to each group (mean age=61.5 years [standard deviation, SD±12.9]; 54% were females). Compared with the conventional suture group, the barbed suture group had significantly lower mean ORT (239±117 minutes, versus 263±79 minutes conventional sutures, p=0.015). Operating room costs were also siginificantly lower in the barbed suture group ($6673±$3976 versus $7100±$2700 conventional sutures, p=0.020). Differences were statistically insignificant for other outcomes (all p>0.05). Subanalysis of patients undergoing fusions of ≥2 vertebral joints yielded consistent results. Conclusion: In this study, wound closure incorporating barbed sutures was associated with lower ORT and operating room costs, with no significant difference in wound complications or readmissions, when compared with conventional sutures alone.

677: Techniques for wound closure at caesarean section: a randomized controlled trial

2011 ◽  
Vol 204 (1) ◽  
pp. S267
Author(s):  
Irene de Graaf ◽  
Katrien Oude Rengerink ◽  
Irene Wiersma ◽  
Marielle Donker ◽  
Eva Pajkrt ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Caesarean Section ◽  
Wound Closure ◽  
Controlled Trial ◽  
Randomized Controlled

Comparative Study of “Staples Versus Sutures” in Skin Closure Following Dupuytren’s Surgery

2002 ◽  
Vol 27 (1) ◽  
pp. 53-54 ◽  
Author(s):  
R. BHATIA ◽  
G. BLACKSHAW ◽  
V. BARR ◽  
R SAVAGE
Keyword(s):  
Randomized Controlled Trial ◽  
Comparative Study ◽  
Wound Closure ◽  
Controlled Trial ◽  
Skin Closure ◽  
Cosmetic Appearance ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial ◽  
Palmar Skin

This prospective, randomized controlled trial assessed the use of staples for closure of the palmar skin following Dupuytren’s surgery. Although staples were significantly quicker to insert than sutures, patients experienced significantly more pain on removal of staples. There was no difference in the cosmetic appearance of the wound in the two groups. We recommend use of staples for palmar wound closure following long procedures.

scholarly journals Sutures versus staples for wound closure in orthopaedic surgery: a pilot randomized controlled trial

2013 ◽  
Vol 7 (1) ◽  
pp. 6 ◽  
Author(s):  
Jesse A Slade Shantz ◽  
James Vernon ◽  
Saam Morshed ◽  
Jeff Leiter ◽  
Gregory Stranges
Keyword(s):  
Randomized Controlled Trial ◽  
Orthopaedic Surgery ◽  
Wound Closure ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

scholarly journals Sutures versus staples for wound closure in orthopaedic surgery: a randomized controlled trial

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Jesse A Shantz ◽  
James Vernon ◽  
Jeff Leiter ◽  
Saam Morshed ◽  
Gregory Stranges
Keyword(s):  
Randomized Controlled Trial ◽  
Orthopaedic Surgery ◽  
Wound Closure ◽  
Controlled Trial ◽  
Randomized Controlled

scholarly journals Efficacy of Whole-Body versus Lesional Application of Permethrin Cream for Scabies Treatment: A Quasi-Experimental Study

2021 ◽  
Vol 11 (2) ◽  
pp. 68-71
Author(s):  
Saleha Sungkar ◽  
Rose A. Haswinzky ◽  
Yasmine A. Dwinastiti ◽  
Aji W. Wardhana ◽  
Fanny P. Irmawati ◽  
...  
Keyword(s):  
Experimental Study ◽  
Controlled Trial ◽  
Cost Effective ◽  
Boarding Schools ◽  
Whole Body ◽  
Cure Rate ◽  
Randomized Controlled ◽  
Quasi Experimental ◽  
Keywords Scabies ◽  
Larger Sample

Objective: The study aims to evaluate the efficacy of whole-body versus lesional application of 5% permethrin cream for scabies eradication. Design: This quasi-experimental study was conducted on September-October 2018 at boarding schools in Bogor and East Jakarta, Indonesia. Subjects were randomized into two groups, 51 students each. Interventions: The first group received a whole-body application while the second group received lesional application of 5% permethrin cream. Evaluation was performed after 7 and 28 days. Main outcome measures: Proportion of lesions cured following the intervention Results: The prevalence of scabies was 41% and 33% at the boarding schools in Bogor and East Jakarta, respectively. Subjects from both groups had similar lesion distributions at baseline (p>0.05). Following intervention, the number of lesions reduced significantly (p<0.001) and both treatments were equally effective in treating scabies with 84.6% vs 91.5% cure rate [Relative Risk (RR) 1.8(0.6-5.0); p>0.05]. Conclusion: Lesional application of 5% permethrin is proven to be equally effective in treating scabies with higher cure rate. This method shows advantage for scabies treatment. In addition to reduce the unwanted side effects, it is more cost-effective and convenient. Further studies with larger sample size and randomized controlled trial design are warranted. Keywords: scabies, permethrin, whole-body application, lesional application, cure rate

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