Application of a novel suture anchor to abdominal wall closure

被引：9

作者：

Green, Jason L. ^{[1
]}

Ruppert, David ^{[2
]}

Glisson, Richard ^{[3
]}

Ibrahim, Mohamed ^{[2
]}

Gall, Ken ^{[3
]}

Levinson, Howard ^{[2
,4
,5
]}

机构：

[1] Duke Univ, Sch Med, Durham, NC 27710 USA

[2] Duke Univ, Dept Surg, Div Plast & Reconstruct Surg, Med Ctr, Durham, NC 27710 USA

[3] Duke Univ, Dept Mech Engn & Mat Sci, Durham, NC 27710 USA

[4] Duke Univ, Dept Dermatol, Durham, NC 27710 USA

[5] Duke Univ, Dept Pathol, Durham, NC 27710 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2019年 / 218卷 / 01期

关键词：

VENTRAL HERNIA REPAIR; MESH;

D O I：

10.1016/j.amjsurg.2019.04.016

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Mesh suture used in high-tension wound closures produces large knots susceptible to increased palpability, infection, and foreign body response; yet has superior tensile strength and increased resistance to cutting through tissue compared to standard suture. This study investigates mesh suture fixation in abdominal tissue with a knotless novel, low-profile anchor-clip. Methods: Single and double end fixation of mesh suture in swine rectus abdominus fascia with an anchor-clip, a knot, and predicate device fixation underwent cyclic testing followed by pull-to-failure testing. Results: Failure load of standard knot, single corkscrew and double anchor-clip were not statistically different, but were significantly greater than single anchor-clip and double corkscrew fixation (p > 0.05). Conclusions: The anchor-clip is similar to 60% smaller than a standard knot while maintaining fixation strength when exposed to physiologic forces using double anchor-clip fixation in abdominal wall closure. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：1 / 6

页数：6

共 14 条

[1] ROLE OF SUTURE MATERIALS IN DEVELOPMENT OF WOUND INFECTION [J].