New technology applications: Knotless barbed suture for tracheal resection anastomosis

Carrie M. Bush, John D. Prosser, Michele P. Morrison, Guri Sandhu, Karl H. Wenger, David H. Pashley, Martin A. Birchall, Gregory N. Postma, Paul M. Weinberger

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives/Hypothesis: Tracheal resection anastomoses are often under tension and can be technically challenging. New suture materials such as V-loc (barbed, knotless wound closure device) may offer advantages over conventional methods. The objective of this study is to determine if a running V-loc suture is of comparable tensile strength to conventional closure. Study Design: Laboratory based study of human cadaveric tissue. Methods: Fresh human cadaveric tracheas were dissected and incised into segments. Anastomosis of adjacent segments was then performed with either submucosal interrupted 3-0 Vicryl, or a running submucosal 3-0 V-loc suture. Anastomosed specimens were stretched to failure on an Instron force tension machine. Surgeon satisfaction was recorded by visual analog scale (VAS). Results: The tensile strength of 12 tracheal anastomoses was tested. Video documentation of V-loc suture technique and anastomosis failure was recorded. In both Vicryl (80%) and V-loc (100%) anastomoses, failure occurred at the membranous intercartilaginous region. In 20% of the Vicryl anastomoses, the suture was noted to break prior to tissue failure. Anastomoses with V-loc suture had equivalent failure force (mean, 59 N) compared to interrupted Vicryl (51 N), with P =.57. On VAS, surgeons were more satisfied with V-loc suture closure compared to interrupted Vicryl closure (paired t test, P =.003). Conclusions: Tracheal anastomosis with running v-loc suture is a feasible alternative to conventional closure with interrupted Vicryl suture. V-loc suture provided a surgical advantage by improved ease of use.

Original languageEnglish (US)
Pages (from-to)1062-1066
Number of pages5
JournalLaryngoscope
Volume122
Issue number5
DOIs
StatePublished - May 1 2012

Fingerprint

Sutures
Polyglactin 910
Technology
Running
Tensile Strength
Visual Analog Scale
Suture Techniques
Trachea
Documentation
Equipment and Supplies
Wounds and Injuries

Keywords

  • Tracheal resection
  • barbed suture
  • tracheal anastomosis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Bush, C. M., Prosser, J. D., Morrison, M. P., Sandhu, G., Wenger, K. H., Pashley, D. H., ... Weinberger, P. M. (2012). New technology applications: Knotless barbed suture for tracheal resection anastomosis. Laryngoscope, 122(5), 1062-1066. https://doi.org/10.1002/lary.23229

New technology applications : Knotless barbed suture for tracheal resection anastomosis. / Bush, Carrie M.; Prosser, John D.; Morrison, Michele P.; Sandhu, Guri; Wenger, Karl H.; Pashley, David H.; Birchall, Martin A.; Postma, Gregory N.; Weinberger, Paul M.

In: Laryngoscope, Vol. 122, No. 5, 01.05.2012, p. 1062-1066.

Research output: Contribution to journalArticle

Bush, CM, Prosser, JD, Morrison, MP, Sandhu, G, Wenger, KH, Pashley, DH, Birchall, MA, Postma, GN & Weinberger, PM 2012, 'New technology applications: Knotless barbed suture for tracheal resection anastomosis', Laryngoscope, vol. 122, no. 5, pp. 1062-1066. https://doi.org/10.1002/lary.23229
Bush, Carrie M. ; Prosser, John D. ; Morrison, Michele P. ; Sandhu, Guri ; Wenger, Karl H. ; Pashley, David H. ; Birchall, Martin A. ; Postma, Gregory N. ; Weinberger, Paul M. / New technology applications : Knotless barbed suture for tracheal resection anastomosis. In: Laryngoscope. 2012 ; Vol. 122, No. 5. pp. 1062-1066.
@article{a9f2182e56ae4fa0aa48063bd6a16f5b,
title = "New technology applications: Knotless barbed suture for tracheal resection anastomosis",
abstract = "Objectives/Hypothesis: Tracheal resection anastomoses are often under tension and can be technically challenging. New suture materials such as V-loc (barbed, knotless wound closure device) may offer advantages over conventional methods. The objective of this study is to determine if a running V-loc suture is of comparable tensile strength to conventional closure. Study Design: Laboratory based study of human cadaveric tissue. Methods: Fresh human cadaveric tracheas were dissected and incised into segments. Anastomosis of adjacent segments was then performed with either submucosal interrupted 3-0 Vicryl, or a running submucosal 3-0 V-loc suture. Anastomosed specimens were stretched to failure on an Instron force tension machine. Surgeon satisfaction was recorded by visual analog scale (VAS). Results: The tensile strength of 12 tracheal anastomoses was tested. Video documentation of V-loc suture technique and anastomosis failure was recorded. In both Vicryl (80{\%}) and V-loc (100{\%}) anastomoses, failure occurred at the membranous intercartilaginous region. In 20{\%} of the Vicryl anastomoses, the suture was noted to break prior to tissue failure. Anastomoses with V-loc suture had equivalent failure force (mean, 59 N) compared to interrupted Vicryl (51 N), with P =.57. On VAS, surgeons were more satisfied with V-loc suture closure compared to interrupted Vicryl closure (paired t test, P =.003). Conclusions: Tracheal anastomosis with running v-loc suture is a feasible alternative to conventional closure with interrupted Vicryl suture. V-loc suture provided a surgical advantage by improved ease of use.",
keywords = "Tracheal resection, barbed suture, tracheal anastomosis",
author = "Bush, {Carrie M.} and Prosser, {John D.} and Morrison, {Michele P.} and Guri Sandhu and Wenger, {Karl H.} and Pashley, {David H.} and Birchall, {Martin A.} and Postma, {Gregory N.} and Weinberger, {Paul M.}",
year = "2012",
month = "5",
day = "1",
doi = "10.1002/lary.23229",
language = "English (US)",
volume = "122",
pages = "1062--1066",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - New technology applications

T2 - Knotless barbed suture for tracheal resection anastomosis

AU - Bush, Carrie M.

AU - Prosser, John D.

AU - Morrison, Michele P.

AU - Sandhu, Guri

AU - Wenger, Karl H.

AU - Pashley, David H.

AU - Birchall, Martin A.

AU - Postma, Gregory N.

AU - Weinberger, Paul M.

PY - 2012/5/1

Y1 - 2012/5/1

N2 - Objectives/Hypothesis: Tracheal resection anastomoses are often under tension and can be technically challenging. New suture materials such as V-loc (barbed, knotless wound closure device) may offer advantages over conventional methods. The objective of this study is to determine if a running V-loc suture is of comparable tensile strength to conventional closure. Study Design: Laboratory based study of human cadaveric tissue. Methods: Fresh human cadaveric tracheas were dissected and incised into segments. Anastomosis of adjacent segments was then performed with either submucosal interrupted 3-0 Vicryl, or a running submucosal 3-0 V-loc suture. Anastomosed specimens were stretched to failure on an Instron force tension machine. Surgeon satisfaction was recorded by visual analog scale (VAS). Results: The tensile strength of 12 tracheal anastomoses was tested. Video documentation of V-loc suture technique and anastomosis failure was recorded. In both Vicryl (80%) and V-loc (100%) anastomoses, failure occurred at the membranous intercartilaginous region. In 20% of the Vicryl anastomoses, the suture was noted to break prior to tissue failure. Anastomoses with V-loc suture had equivalent failure force (mean, 59 N) compared to interrupted Vicryl (51 N), with P =.57. On VAS, surgeons were more satisfied with V-loc suture closure compared to interrupted Vicryl closure (paired t test, P =.003). Conclusions: Tracheal anastomosis with running v-loc suture is a feasible alternative to conventional closure with interrupted Vicryl suture. V-loc suture provided a surgical advantage by improved ease of use.

AB - Objectives/Hypothesis: Tracheal resection anastomoses are often under tension and can be technically challenging. New suture materials such as V-loc (barbed, knotless wound closure device) may offer advantages over conventional methods. The objective of this study is to determine if a running V-loc suture is of comparable tensile strength to conventional closure. Study Design: Laboratory based study of human cadaveric tissue. Methods: Fresh human cadaveric tracheas were dissected and incised into segments. Anastomosis of adjacent segments was then performed with either submucosal interrupted 3-0 Vicryl, or a running submucosal 3-0 V-loc suture. Anastomosed specimens were stretched to failure on an Instron force tension machine. Surgeon satisfaction was recorded by visual analog scale (VAS). Results: The tensile strength of 12 tracheal anastomoses was tested. Video documentation of V-loc suture technique and anastomosis failure was recorded. In both Vicryl (80%) and V-loc (100%) anastomoses, failure occurred at the membranous intercartilaginous region. In 20% of the Vicryl anastomoses, the suture was noted to break prior to tissue failure. Anastomoses with V-loc suture had equivalent failure force (mean, 59 N) compared to interrupted Vicryl (51 N), with P =.57. On VAS, surgeons were more satisfied with V-loc suture closure compared to interrupted Vicryl closure (paired t test, P =.003). Conclusions: Tracheal anastomosis with running v-loc suture is a feasible alternative to conventional closure with interrupted Vicryl suture. V-loc suture provided a surgical advantage by improved ease of use.

KW - Tracheal resection

KW - barbed suture

KW - tracheal anastomosis

UR - http://www.scopus.com/inward/record.url?scp=84859889141&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859889141&partnerID=8YFLogxK

U2 - 10.1002/lary.23229

DO - 10.1002/lary.23229

M3 - Article

C2 - 22473356

AN - SCOPUS:84859889141

VL - 122

SP - 1062

EP - 1066

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 5

ER -