Unidirectional barbed sutures vs. interrupted intracorporeal knots in thoracoscopic repair of congenital diaphragmatic hernia in pediatrics.

Autor:	Shehata MA; Pediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt., Negm MA; Pediatric Surgery Unit, Qena Faculty of Medicine, South Valley University, Qena, Egypt., Shalaby MM; Pediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt., Mansour MA; Pediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt., Elhaddad AA; Pediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2024 Jan 18; Vol. 12, pp. 1348753. Date of Electronic Publication: 2024 Jan 18 (Print Publication: 2024).
DOI:	10.3389/fped.2024.1348753
Abstrakt:	Background: Intracorporeal suturing knots continue to be one of the most challenging and time-consuming steps in the thoracoscopic repair of congenital diaphragmatic hernia (CDH). Barbed unidirectional knotless sutures are designed to shorten surgical procedures by eliminating the need to tie knots. This work aimed to compare unidirectional barbed sutures and interrupted intracorporeal knots in the thoracoscopic repair of CDH in pediatrics regarding the time required to suture, operative time and complications. Methods: This retrospective study included 139 patients presented with Bochdalek CDH. Patients were classified into early (neonatal) and late presentations. The hernia defect was repaired by unidirectional B arbed sutures (V-Loc TM and Stratafix TM sutures) in group B or by C onventional interrupted intracorporeal knots in group C . Results: In both early and delayed presentations, the time required to suture (15 and 13 min in group B, 33 and 28 min in group C for neonatal and delayed presentation respectively) was significantly shorter in group B. Complications (visceral perforation, wound infection, and recurrence) insignificantly differed between group B and group C of early presentation. No patients suffered from major complications in both groups. Conclusions: Both unidirectional barbed sutures and intracorporeal knots were safe and effective. However, unidirectional barbed sutures are a time-saving choices for CDH thoracoscopic repair in early and late presentations. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Shehata, Negm, Shalaby, Mansour and Elhaddad.)
Databáze:	MEDLINE
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