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A Comparative Study of Braided versus Barbed Suture for Cystotomy Repair
Robert Shapiro1,2, Alec Sunyecz3, Stanley Zaslau1,2
1Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, WV, 26506, USA.
Research and Reports in Urology
|November 22, 2021
Summary
Barbed sutures show comparable outcomes to standard sutures for bladder repair. They are preferred in minimally invasive surgery, particularly for patients with higher body mass index (BMI).
Area of Science:
- Urology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Cystotomy, or bladder injury, can occur during surgical procedures.
- Traditional repair involves standard braided sutures.
- Barbed sutures offer a potential alternative for wound closure.
Purpose of the Study:
- To compare postoperative outcomes of cystotomy repair using barbed sutures versus standard sutures.
- To identify factors influencing the choice between barbed and standard sutures for cystotomy repair.
Main Methods:
- Retrospective chart review of 68 patients with iatrogenic cystotomy from 2016-2019.
- Comparison of cystotomy repair outcomes between barbed (V-Loc™ 90) and standard braided sutures.
- Statistical analysis using Pearson's Chi-square test and t-test (p < 0.05 significance).
Main Results:
- No significant difference in postoperative outcomes between barbed and standard suture groups.
- Barbed suture use was significantly higher in minimally invasive surgery (p=0.001), especially robotic (63.6%).
- Patients receiving barbed suture repair had a significantly higher body mass index (BMI) (p=0.005).
Conclusions:
- Barbed sutures demonstrate comparable efficacy to standard braided sutures for cystotomy repair.
- Barbed sutures may be a practical alternative for cystotomy repair in minimally invasive procedures.
- Consideration of barbed sutures is beneficial for patients with higher BMI undergoing minimally invasive surgery.
