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Published in: Current Obstetrics and Gynecology Reports 2/2017

Open Access 01-06-2017 | Emerging and Pipeline Technologies in Ob/Gyn (M Levie, Section Editor)

A High-Strength, Absorbable, Antibacterial Knotless Tissue Control Device for Fascial Closure

Authors: Jesse G. Nawrocki, Heather Nonnenmann, Mark Mooney, Nadia Sutton, Niels-Derrek Schmitz

Published in: Current Obstetrics and Gynecology Reports | Issue 2/2017

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Abstract

Purpose of Review

This review provides an overview of the STRATAFIX™ SYMMETRIC PDS™ Plus Knotless Tissue Control Device design and performance characteristics and highlights the device’s relevance for use in gynecological procedures. Various device testing was conducted on tensile strength, fixation tab mass comparison to conventional suture knot tower, initiation stitch strength, and wound holding strength to highlight the STRATAFIX™ SYMMETRIC PDS™ Plus Device’s key product attributes that may benefit general and minimally invasive gynecological procedures.

Recent Findings

This article serves as a technological assessment of the latest barbed suture offered by Ethicon—STRATAFIX™ SYMMETRIC PDS™ Plus Knotless Tissue Control Device. This device is indicated for soft tissue approximation and can be used to close high tension areas, such as fascia.

Summary

Barbed sutures were successfully introduced to gynecologic surgery many years ago, and their safety and effectiveness have been demonstrated in a variety of gynecological surgical procedures. By eliminating the need to tie surgical knots, barbed suture provides a few key advantages over conventional suture, such as reducing operating room time, eliminating potential knot-related complications, and reducing suturing difficulty in open and minimally invasive gynecological procedures. Additionally, there are tensile strength and wound holding strength advantages (vs. conventional PDS™ Plus Suture) described in the product testing highlighted in this review that may be relevant for gynecological procedures.
Literature
1.
go back to reference • Greenberg JA, Einarsson JI. The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy. J Minim Invasive Gynecol. 2008;15:621–3. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed • Greenberg JA, Einarsson JI. The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy. J Minim Invasive Gynecol. 2008;15:621–3. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed
2.
go back to reference Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Evaluation of a novel technique for wound closure using a barbed suture. Plast Reconstr Surg. 2006;117:1769–80.CrossRefPubMed Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Evaluation of a novel technique for wound closure using a barbed suture. Plast Reconstr Surg. 2006;117:1769–80.CrossRefPubMed
3.
go back to reference Naki MM, Api O, Acioglu HC, Ozkan S, Kars B, Unal O. Comparative study of a barbed suture, poliglecaprone-25 suture, and stapler in Pfannenstiel incisions performed for benign gynecological procedures: a randomized trial. Acta Obstet Gynecol Scand. 2010;89:1473–7.CrossRefPubMed Naki MM, Api O, Acioglu HC, Ozkan S, Kars B, Unal O. Comparative study of a barbed suture, poliglecaprone-25 suture, and stapler in Pfannenstiel incisions performed for benign gynecological procedures: a randomized trial. Acta Obstet Gynecol Scand. 2010;89:1473–7.CrossRefPubMed
4.
go back to reference Ardovino M, Castaldi MA, Fraternali F, Ardovino I, Colacurci N, Signoriello G, Cobellis L. Bidirectional barbed suture in laparoscopic myomectomy: clinical features. J Laparoendosc Adv Surg Tech A. 2013;23:1006–10.CrossRefPubMed Ardovino M, Castaldi MA, Fraternali F, Ardovino I, Colacurci N, Signoriello G, Cobellis L. Bidirectional barbed suture in laparoscopic myomectomy: clinical features. J Laparoendosc Adv Surg Tech A. 2013;23:1006–10.CrossRefPubMed
5.
go back to reference Einarsson JI, Vellinga TT, Twijnstra AR, Chavan NR, Suzuki Y, Greenberg JA. Bidirectional barbed suture: an evaluation of safety and clinical outcomes. JSLS. 2010;14:381–5.CrossRefPubMedPubMedCentral Einarsson JI, Vellinga TT, Twijnstra AR, Chavan NR, Suzuki Y, Greenberg JA. Bidirectional barbed suture: an evaluation of safety and clinical outcomes. JSLS. 2010;14:381–5.CrossRefPubMedPubMedCentral
6.
go back to reference Giampaolino P, De Rosa N, Tommaselli GA, Santangelo F, Nappi C, Sansone A, Bifulco G. Comparison of bidirectional barbed suture STRATAFIX™ and conventional suture with intracorporeal knots in laparoscopic myomectomy by office transvaginal hydrolaparoscopic follow-up: a preliminary report. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2015;195:146–50.CrossRef Giampaolino P, De Rosa N, Tommaselli GA, Santangelo F, Nappi C, Sansone A, Bifulco G. Comparison of bidirectional barbed suture STRATAFIX™ and conventional suture with intracorporeal knots in laparoscopic myomectomy by office transvaginal hydrolaparoscopic follow-up: a preliminary report. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2015;195:146–50.CrossRef
7.
go back to reference Einarsson JI, Cohen SL, Gobern JM, Sandberg EM, Hill-Lydecker CI, Wang K, Brown DN. Barbed versus standard suture: a randomized trial for laparoscopic vaginal cuff closure. J Minim Invasive Gynecol. 2013;20:492–8.CrossRefPubMed Einarsson JI, Cohen SL, Gobern JM, Sandberg EM, Hill-Lydecker CI, Wang K, Brown DN. Barbed versus standard suture: a randomized trial for laparoscopic vaginal cuff closure. J Minim Invasive Gynecol. 2013;20:492–8.CrossRefPubMed
8.
go back to reference Siedhoff MT, Yunker AC, Steege JF. Decreased incidence of vaginal cuff dehiscence after laparoscopic closure with bidirectional barbed suture. J Minim Invasive Gynecol. 2011;18:218–23.CrossRefPubMed Siedhoff MT, Yunker AC, Steege JF. Decreased incidence of vaginal cuff dehiscence after laparoscopic closure with bidirectional barbed suture. J Minim Invasive Gynecol. 2011;18:218–23.CrossRefPubMed
9.
go back to reference Bogliolo S, Nadalini C, Iacobone AD, Musacchi V, Carus AP. Vaginal cuff closure with absorbable bidirectional barbed suture during total laparoscopic hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2013;170:219–21.CrossRefPubMed Bogliolo S, Nadalini C, Iacobone AD, Musacchi V, Carus AP. Vaginal cuff closure with absorbable bidirectional barbed suture during total laparoscopic hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2013;170:219–21.CrossRefPubMed
10.
go back to reference Stubbs JT. Short-term results of robotic sacrocolpopexy using the Quill SRS bi-directional polydioxanone (PDO) suture. J Robotic Surg. 2011;5:259–65.CrossRef Stubbs JT. Short-term results of robotic sacrocolpopexy using the Quill SRS bi-directional polydioxanone (PDO) suture. J Robotic Surg. 2011;5:259–65.CrossRef
11.
go back to reference • Sajid MS, Parampalli U, Baig MK, McFall MR. A systematic review on the effectiveness of slowly-absorbable vs non-absorbable sutures for abdominal fascial closure following laparotomy. Int J Surg. 2011;9:615–25. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed • Sajid MS, Parampalli U, Baig MK, McFall MR. A systematic review on the effectiveness of slowly-absorbable vs non-absorbable sutures for abdominal fascial closure following laparotomy. Int J Surg. 2011;9:615–25. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed
12.
go back to reference • Israelsson LA, Jonsson T. Closure of midline laparotomy incisions with Polydioxanone and nylon: the importance of suture technique. Br J Surg. 1994;81:1606–8. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed • Israelsson LA, Jonsson T. Closure of midline laparotomy incisions with Polydioxanone and nylon: the importance of suture technique. Br J Surg. 1994;81:1606–8. A key publication in the field of suture material for wound closure, suture techniques for wound closure and bringing this suture material into gynecological procedures CrossRefPubMed
13.
go back to reference Ceydeli A, Rucinski J, Wise L. Finding the best abdominal closure: an evidence-based review of the literature. Curr Surg. 2005;62:220–5.CrossRefPubMed Ceydeli A, Rucinski J, Wise L. Finding the best abdominal closure: an evidence-based review of the literature. Curr Surg. 2005;62:220–5.CrossRefPubMed
14.
go back to reference Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS™ Plus (Polydioxanone with Triclosan) suture. Surg Infect. 2008;9:451–7.CrossRef Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS™ Plus (Polydioxanone with Triclosan) suture. Surg Infect. 2008;9:451–7.CrossRef
16.
go back to reference USP United States Pharmacopeia USP35-NF30 S2, Rockville, MD: 2012: 4736–4738. USP United States Pharmacopeia USP35-NF30 S2, Rockville, MD: 2012: 4736–4738.
17.
go back to reference Chu C-C, Fraunhofer V, Anthony J, Griesler HP. Wound closure biomaterials and devices. Boca Raton: CRC Press; 1997. p. 122. Chu C-C, Fraunhofer V, Anthony J, Griesler HP. Wound closure biomaterials and devices. Boca Raton: CRC Press; 1997. p. 122.
Metadata
Title
A High-Strength, Absorbable, Antibacterial Knotless Tissue Control Device for Fascial Closure
Authors
Jesse G. Nawrocki
Heather Nonnenmann
Mark Mooney
Nadia Sutton
Niels-Derrek Schmitz
Publication date
01-06-2017
Publisher
Springer US
Published in
Current Obstetrics and Gynecology Reports / Issue 2/2017
Electronic ISSN: 2161-3303
DOI
https://doi.org/10.1007/s13669-017-0208-0

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