TY - JOUR
T1 - A multicenter randomized controlled trial comparing absorbable barbed sutures versus conventional absorbable sutures for dermal closure in open surgical procedures
AU - Rubin, J. Peter
AU - Hunstad, Joseph P.
AU - Polynice, Alain
AU - Gusenoff, Jeffrey A.
AU - Schoeller, Thomas
AU - Dunn, Raymond
AU - Walgenbach, Klaus J.
AU - Hansen, Juliana E.
PY - 2014/2
Y1 - 2014/2
N2 - Background: Barbed sutures were developed to reduce operative time and improve security of wound closure. Objective: The authors compare absorbable barbed sutures (V-Loc, Covidien, Mansfield, Massachusetts) with conventional (smooth) absorbable sutures for soft tissue approximation. Method: A prospective multicenter randomized study comparing barbed sutures with smooth sutures was undertaken between August 13, 2009, and January 31, 2010, in 241 patients undergoing abdominoplasty, mastopexy, and reduction mammaplasty. Each patient received barbed sutures on 1 side of the body, with deep dermal sutures eliminated or reduced. Smooth sutures with deep dermal and subcuticular closure were used on the other side as a control. The primary endpoint was dermal closure time. Safety was assessed through adverse event reporting through a 12-week follow-up. Results: A total of 229 patients were ultimately treated (115 with slow-absorbing polymer and 114 with rapid-absorbing polymer). Mean dermal closure time was significantly quicker with the barbed suture compared with the smooth suture (12.0 vs 19.2 minutes; P < .001), primarily due to the need for fewer deep dermal sutures. The rapid-absorbing barbed suture showed a complication profile equivalent to the smooth suture, while the slow-absorbing barbed suture had a higher incidence of minor suture extrusion. Conclusions: Barbed sutures enabled faster dermal closure quicker than smooth sutures, with a comparable complication profile.
AB - Background: Barbed sutures were developed to reduce operative time and improve security of wound closure. Objective: The authors compare absorbable barbed sutures (V-Loc, Covidien, Mansfield, Massachusetts) with conventional (smooth) absorbable sutures for soft tissue approximation. Method: A prospective multicenter randomized study comparing barbed sutures with smooth sutures was undertaken between August 13, 2009, and January 31, 2010, in 241 patients undergoing abdominoplasty, mastopexy, and reduction mammaplasty. Each patient received barbed sutures on 1 side of the body, with deep dermal sutures eliminated or reduced. Smooth sutures with deep dermal and subcuticular closure were used on the other side as a control. The primary endpoint was dermal closure time. Safety was assessed through adverse event reporting through a 12-week follow-up. Results: A total of 229 patients were ultimately treated (115 with slow-absorbing polymer and 114 with rapid-absorbing polymer). Mean dermal closure time was significantly quicker with the barbed suture compared with the smooth suture (12.0 vs 19.2 minutes; P < .001), primarily due to the need for fewer deep dermal sutures. The rapid-absorbing barbed suture showed a complication profile equivalent to the smooth suture, while the slow-absorbing barbed suture had a higher incidence of minor suture extrusion. Conclusions: Barbed sutures enabled faster dermal closure quicker than smooth sutures, with a comparable complication profile.
KW - abdominal wound closure
KW - absorbable barbed sutures
KW - absorbable smooth sutures
KW - body contouring
KW - mammaplasty
KW - sutures
KW - wound closure techniques
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U2 - 10.1177/1090820X13519264
DO - 10.1177/1090820X13519264
M3 - Article
C2 - 24421408
AN - SCOPUS:84893695950
SN - 1090-820X
VL - 34
SP - 272
EP - 283
JO - Aesthetic surgery journal
JF - Aesthetic surgery journal
IS - 2
ER -