Biomechanical features of bidirectional-barbed suture: a randomized laboratory analysis.
The aim of the current prospective study was to evaluate the biomechanical stability of barbed suture vs. conventional suture. Biomechanical stability of a 14x14-cm PDO/polydioxanone, with a half circle and 36-mm needle, bidirectional barbed 0-Quill suture (Angiotech, Vancouver, British Columbia, Canada) vs. 1-Poliglecaprone 25 (Monocryl, Ethicon, Inc, Somerville, NJ) suture was evaluated on biological specimens. The 1-Monocryl suture was chosen because it is widely used by gynecological surgeons in the repair either of the vaginal cuff or the uterine wall defects. Forty specimens of aponeurotic muscle, obtained from abdominal wall of a lamb, were prepared, and randomly assigned to 1 of 2 repair groups: Group A (n = 20) classic repair with 1-Monocryl suture; Group B (n = 20) 0-Quill barbed suture. Each specimen was transected at the midpoint and then repaired. Biomechanical stability of the repaired specimen was verified on a CMT6000 electromechanical universal testing machine (SANS, MTS SYSTEMS, China Co., Ltd., Shenzhen, China), with a 1kN cell. Biomechanical tests showed that maximum force was similar for 1-Monocryl and 0-Quill respectively (p = non-significant). This randomized laboratory study shows that biomechanical stability of the sutures is comparable.
Department of the Woman, the Child, and General and Specialized Surgery Second University of Naples Naples, Italy.
Maria Antonietta
MA
Castaldi
Department of the Woman, the Child, and General and Specialized Surgery Second University of Naples Naples, Italy.
Luigi
L
Cobellis
Department of Civil Engineering, Laboratory of Biomechanics University of Salerno Salerno, Italy.
Fernando
F
Fraternali
Department of the Woman, the Child, and General and Specialized Surgery Second University of Naples Naples, Italy.
Mario
M
Ardovino
Department of the Woman and the Child, Operative Unit of Obstetrics and Gynaecology A.O.R.N. S.G. Moscati Avellino, Italy.
Italo
I
Ardovino
Department of the Woman, the Child, and General and Specialized Surgery Second University of Naples Naples, Italy.
Nicola
N
Colacurci
D034861:Abdominal Wall / Q000502:physiology / Q000601:surgery; D000818:Animals; D001696:Biomechanical Phenomena / Q000502:physiology*; D008954:Models, Biological; D011446:Prospective Studies; D012756:Sheep; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures