Lima HCGD, Ribeiro AP, Souza JÁD, Vieira RR, Fernandes MF. Evaluation of barbed suture for celiorrhaphy and subcutaneous closure in bitches with pyometra submitted to ovariohysterectomy.
Acta Cir Bras 2021;
36:e360502. [PMID:
34133504 PMCID:
PMC8205441 DOI:
10.1590/acb360502]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 04/14/2021] [Indexed: 11/21/2022] Open
Abstract
Purpose
To evaluate the use of barbed sutures over the surgical time, the leukogram,
the tissue thickness in which the sutures were employed (ultrasonography),
the costs, and the possible complications in bitches with pyometra submitted
to ovariohysterectomy (OH).
Methods
Convectional 2.0 polyglyconate suture was used in the control group (CG n =
10) and 2.0 barbed polyglyconate suture in the barbed group (BG n = 10) to
perform celiorrhaphy (simple continuous pattern) and subcutaneous closure
(continuous intradermal pattern). Data were assessed using paired (leukogram
between 24 and 48 h within the same group) and unpaired (leukogram, surgical
time, tissue thickness, and costs) Student’s t-test. The Fisher exact test
was used to assess the occurrence of seroma between groups (p < 0.05).
Results are shown as mean ± standard error of mean.
Results
The time spent to perform the celiorrhaphy (195.30 ± 17.37 s vs. 204 ± 16.00
s), subcutaneous closure (174.0 ± 15.86 s vs. 198.0 ± 15.62 s), and the
total surgical time (24.30 ± 1.44 min vs. 23.00 ± 1.30 min) did not differ
between BG and CG, respectively (p > 0.05). Leukogram at 48 h
post-surgery did not differ between groups (p = 0.20). No differences were
observed in the subcutaneous and the abdominal wall thickness (cm) assessed
by ultrasonography at 48 h in BG (0.31 ± 0.04, 0.80 ± 0.05) and CG (0.34 ±
0.03, 0.72 ± 0.06), respectively. Similarly, 15 days post-surgery the same
structures did not differ between BG (0.26 ± 0.02, 0.74 ± 0.08) and CG (0.26
± 0.03, 0.64 ± 0.05) (p > 0.05). In one bitch from each group, a mild
seroma was observed on one side of the surgical wound 48 h after surgery (p
= 1.00). The procedures in which barbed sutures were used had an average
additional cost of R$ 200.00 ± 11.66 (p < 0.0001).
Conclusions
Barbed suture has proven to be efficient and safe for abdominal and
subcutaneous closure. However, considering its current high cost in addition
thatthe surgical time of bitches with pyometra undergone OH was not reduced,
no advantages were observed with theuse of barbed sutures for this type of
surgery.
Collapse