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SINGLE BIDIRECTIONAL BARBED SUTURE WITH MIDLINE LOCKING MECHANISM FOR TRANSANAL TRANSVERSE WOUND CLOSURE

Alberto Arezzo. University of Torino

The video shows the use of a barbed suture of a novel concept. This first prototype thread developed together with Assut Europe (Roma, Italy) is characterised by a bidirectional 3/0 barbed suture, of 24 cm length overall, with two needles 22 mm in diameter, and ½ circumference. In order to fix the thread to the tissue, on the exact midline of the thread a small (2 mm) ball of the same material of the thread is fused with heat. This button as the entire thread is made of Polydioxanone, a monofilament material for long-term absorption, self-retaining. This small advancement offers a consistent advancement in endorectal surgery helping in making transverse wound closures as easy as never before. The first stitch is placed on the transverse midline of the rectal wall defect, this way approximating proximal and distal edges. The button keeps the thread under tension allowing the completion of a running suture towards one of the two lateral ends of the wound. When the first end is reached the needle is cut and the other needle is grabbed in order to perform the other half of the running suture keeping the right tension on the thread, with no risk of lumen stenosis. The two lateral ends of the suture are self-blocked passing them through the last stitch. No need for clips, knotting or buttonholes to pass through. While illustrating the technique the authors will comment pros and cons of the use of the device.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 98711

Program Number: ETP754

Presentation Session: Emerging Technology Poster Session (Non CME)

Presentation Type: Poster

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