Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs
Abstract Background Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on...
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doaj-cdd88da089434d85a2c03d7abf1335812020-11-25T02:14:01ZengBMCActa Veterinaria Scandinavica1751-01472019-01-016111810.1186/s13028-018-0437-xComparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigsGessica Giusto0Selina Iussich1Massimiliano Tursi2Giovanni Perona3Marco Gandini4Department of Veterinary Sciences, University of TurinDepartment of Veterinary Sciences, University of TurinDepartment of Veterinary Sciences, University of TurinDepartment of Veterinary Sciences, University of TurinDepartment of Veterinary Sciences, University of TurinAbstract Background Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on enterotomy, little has been published so far on the use of barbed suture for end-to-end intestinal anastomoses. The aim of the study was to compare two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs. End-to-end jejuno-jejunal anastomosis were performed with unidirectional barbed (A group), bidirectional barbed (B group) or normal (C group) sutures in each animal. A comparison was then made between the groups based on adhesions scoring, suturing time, bursting pressure and histopathology. Results Mean construction times in the A group (518 ± 40 s) and in the B group (487 ± 45 s) were significantly lower than in the C group (587 ± 63 s) but were not different between A and B group (P = 0.10). Mean bursting pressures were significantly higher in the intact intestine (197 ± 13 mmHg) than in any other group (group A 150 ± 16 mmHg, group B 145 ± 22 mmHg, group C 145 ± 24 mmHg). Among anastomotic techniques, the bursting pressures were not significantly different. Histologically no difference could be detected in the grade of inflammation, collagen deposition and neovascularization at the anastomotic sites. Conclusions Barbed sutures can be effectively used for handsewn end-to-end jejunojejunal anastomosis in pigs. They are comparable to normal suture but could provide a shorter surgical time.http://link.springer.com/article/10.1186/s13028-018-0437-xBarbed sutureEnd-to-end anastomosisJejunojejunalPigs |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gessica Giusto Selina Iussich Massimiliano Tursi Giovanni Perona Marco Gandini |
spellingShingle |
Gessica Giusto Selina Iussich Massimiliano Tursi Giovanni Perona Marco Gandini Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs Acta Veterinaria Scandinavica Barbed suture End-to-end anastomosis Jejunojejunal Pigs |
author_facet |
Gessica Giusto Selina Iussich Massimiliano Tursi Giovanni Perona Marco Gandini |
author_sort |
Gessica Giusto |
title |
Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
title_short |
Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
title_full |
Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
title_fullStr |
Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
title_full_unstemmed |
Comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
title_sort |
comparison of two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs |
publisher |
BMC |
series |
Acta Veterinaria Scandinavica |
issn |
1751-0147 |
publishDate |
2019-01-01 |
description |
Abstract Background Hand-sewn intestinal anastomoses are a fundamental procedure in both open and laparoscopic intestinal surgery. Self-retaining barbed suture devices have been tested for a variety of surgical applications. With the exception of clinical reports and various experimental studies on enterotomy, little has been published so far on the use of barbed suture for end-to-end intestinal anastomoses. The aim of the study was to compare two different barbed suture materials for end-to-end jejuno-jejunal anastomosis in pigs. End-to-end jejuno-jejunal anastomosis were performed with unidirectional barbed (A group), bidirectional barbed (B group) or normal (C group) sutures in each animal. A comparison was then made between the groups based on adhesions scoring, suturing time, bursting pressure and histopathology. Results Mean construction times in the A group (518 ± 40 s) and in the B group (487 ± 45 s) were significantly lower than in the C group (587 ± 63 s) but were not different between A and B group (P = 0.10). Mean bursting pressures were significantly higher in the intact intestine (197 ± 13 mmHg) than in any other group (group A 150 ± 16 mmHg, group B 145 ± 22 mmHg, group C 145 ± 24 mmHg). Among anastomotic techniques, the bursting pressures were not significantly different. Histologically no difference could be detected in the grade of inflammation, collagen deposition and neovascularization at the anastomotic sites. Conclusions Barbed sutures can be effectively used for handsewn end-to-end jejunojejunal anastomosis in pigs. They are comparable to normal suture but could provide a shorter surgical time. |
topic |
Barbed suture End-to-end anastomosis Jejunojejunal Pigs |
url |
http://link.springer.com/article/10.1186/s13028-018-0437-x |
work_keys_str_mv |
AT gessicagiusto comparisonoftwodifferentbarbedsuturematerialsforendtoendjejunojejunalanastomosisinpigs AT selinaiussich comparisonoftwodifferentbarbedsuturematerialsforendtoendjejunojejunalanastomosisinpigs AT massimilianotursi comparisonoftwodifferentbarbedsuturematerialsforendtoendjejunojejunalanastomosisinpigs AT giovanniperona comparisonoftwodifferentbarbedsuturematerialsforendtoendjejunojejunalanastomosisinpigs AT marcogandini comparisonoftwodifferentbarbedsuturematerialsforendtoendjejunojejunalanastomosisinpigs |
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